| NPI | 1831350941 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL 9458049) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NV 882273) |
| Enumeration Date | 2008-06-20 |
| Last Update Date | 2024-12-17 |