| NPI | 1821013160 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MT 160035) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 05-01633) |
| 363LF0000X Nurse Practitioner, Family (Licence: NC 2005010399-22) | |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2024-12-11 |