| NPI | 1093431371 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL 11021676) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AK 198958) |
| 207Q00000X Family Medicine (Licence: FL 11021676) | |
| 363L00000X Nurse Practitioner (Licence: AK 198958) | |
| 363L00000X Nurse Practitioner (Licence: CO 0004587) | |
| Enumeration Date | 2022-10-18 |
| Last Update Date | 2023-10-24 |