| NPI | 1831182724 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5004080) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NM R50265) |
| Enumeration Date | 2005-08-25 |
| Last Update Date | 2020-02-03 |