| NPI | 1609138585 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5019607) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 224009) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 91106) | |
| Enumeration Date | 2012-06-15 |
| Last Update Date | 2024-12-07 |