| NPI | 1487885307 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5004438) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: SC 102484) |
| Enumeration Date | 2009-07-28 |
| Last Update Date | 2021-01-20 |