| NPI | 1013567403 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NE 112973) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NE 69394) |
| 363L00000X Nurse Practitioner (Licence: NE 112973) | |
| Enumeration Date | 2019-09-17 |
| Last Update Date | 2023-11-28 |