| NPI | 1093164725 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NM 63520) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 340643) |
| 363LF0000X Nurse Practitioner, Family (Licence: SC 26022) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NC 5012551) | |
| Enumeration Date | 2016-06-03 |
| Last Update Date | 2024-12-19 |