| NPI | 1861466443 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5003964) |
| Additional Taxonomies | 174400000X Specialist (Licence: AZ AP1942) |
| Enumeration Date | 2006-02-13 |
| Last Update Date | 2022-11-08 |