| NPI | 1558473819 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: SC 27564) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 124284) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2023-08-07 |