| NPI | 1558618371 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5005758) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN 21183) |
| Enumeration Date | 2012-08-10 |
| Last Update Date | 2024-01-29 |