| NPI | 1598771669 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 3010051) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 95029159) |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2024-02-29 |