| NPI | 1649383936 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IA A056545) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IA AO56545) |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2024-06-01 |