| NPI | 1548392228 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AL 1061969) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AL 1-061969) |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2024-02-01 |