| NPI | 1780989715 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL 11027517) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 4318033) |
| Enumeration Date | 2011-01-23 |
| Last Update Date | 2024-04-25 |