| NPI | 1700281805 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL 9237745) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 5019332) |
| 363L00000X Nurse Practitioner (Licence: AL 3-001635) | |
| Enumeration Date | 2014-10-31 |
| Last Update Date | 2024-04-30 |