| NPI | 1568515757 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 930202) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MD ACOO2O7I) |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2024-04-19 |