| NPI | 1871722538 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5004237) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: SC 105287) |
| Enumeration Date | 2009-07-02 |
| Last Update Date | 2021-08-12 |