| NPI | 1942637921 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 9577) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD R218837) |
| 363LF0000X Nurse Practitioner, Family (Licence: AZ AP5204) | |
| Enumeration Date | 2013-10-04 |
| Last Update Date | 2024-01-21 |