| NPI | 1003240359 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11013672) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO NP 0990840) |
| 363LF0000X Nurse Practitioner, Family (Licence: NH 074932-23) | |
| Enumeration Date | 2013-08-22 |
| Last Update Date | 2022-10-13 |