| NPI | 1558553198 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5003353) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NC 0050-03353) |
| Enumeration Date | 2007-08-17 |
| Last Update Date | 2020-10-25 |