| NPI | 1720199276 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IA A120565) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NE 115179) |
| 363L00000X Nurse Practitioner (Licence: SD 454) | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2024-11-20 |