| NPI | 1073076923 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5011638) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 5011638) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL TPAN3027) | |
| 363LF0000X Nurse Practitioner, Family (Licence: SC 29819) | |
| Enumeration Date | 2019-04-08 |
| Last Update Date | 2025-01-22 |