| NPI | 1801023718 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: KY 3007279) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MA 213890) |
| Enumeration Date | 2009-06-18 |
| Last Update Date | 2023-02-07 |