| NPI | 1982839197 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5004378) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 171026) |
| Enumeration Date | 2009-05-18 |
| Last Update Date | 2023-04-24 |