| NPI | 1528132651 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MT NUR-APRN-LIC-100368) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MT 20476) |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2021-05-18 |