| NPI | 1811079544 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MS R852798) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AR A004596) |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2019-12-18 |