| NPI | 1841548161 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IA A118055) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IA A-118055) |
| Enumeration Date | 2012-08-16 |
| Last Update Date | 2022-06-05 |