| NPI | 1902864564 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NV APRN822758) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ nc085069) |
| 363L00000X Nurse Practitioner (Licence: CA NPF21784) | |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2022-12-09 |