| NPI | 1013573302 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NV 849231) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: CA 95003095) |
| 363LF0000X Nurse Practitioner Family (Licence: AZ 278023) | |
| Enumeration Date | 2019-05-13 |
| Last Update Date | 2024-08-01 |