| NPI | 1093117582 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9233787) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL arnp9233787) |
| 207QA0505X Family Medicine, Adult Medicine (Licence: FL 1134677685) | |
| Enumeration Date | 2014-09-16 |
| Last Update Date | 2023-05-23 |