| NPI | 1942534367 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5004514) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: SC 20593) |
| Enumeration Date | 2009-10-01 |
| Last Update Date | 2019-05-29 |