| NPI | 1104282623 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 33071) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN3259502) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP3259502) | |
| 364SF0001X Clinical Nurse Specialist, Family Health (Licence: FL ARNP3259502) | |
| Enumeration Date | 2016-01-13 |
| Last Update Date | 2023-10-11 |