| NPI | 1861435513 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AL 1078659) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AL 1-078659) |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2023-06-28 |