| NPI | 1932284197 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OR 10020159) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP2958902) |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2024-03-18 |