| NPI | 1528389038 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MD AC002156) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AZ AP4397) |
| Enumeration Date | 2010-06-18 |
| Last Update Date | 2018-02-09 |