| NPI | 1861506610 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MO 127598) |
| Additional Taxonomies | 405300000X Prevention Professional (Licence: MO 127598) |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2023-04-18 |