| NPI | 1558524942 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ AP3701) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN R 201557-2) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: ME R042876) | |
| Enumeration Date | 2008-07-07 |
| Last Update Date | 2024-08-05 |