| NPI | 1679720346 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5003967) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 098231) |
| Enumeration Date | 2008-08-25 |
| Last Update Date | 2023-10-12 |