| NPI | 1538195276 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 005000472) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY 311275) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NC 5000472) | |
| Enumeration Date | 2006-06-24 |
| Last Update Date | 2024-12-05 |