| NPI | 1588705552 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NV 829613) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 2751) |
| Enumeration Date | 2007-02-10 |
| Last Update Date | 2024-07-19 |