| NPI | 1740270081 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 75670) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 200537) |
| Enumeration Date | 2005-10-27 |
| Last Update Date | 2020-08-28 |