| NPI | 1518214154 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: ID NP-1185A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: ID NP-1185A) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: ID NP-1185A) | |
| Enumeration Date | 2012-08-14 |
| Last Update Date | 2024-11-04 |