| NPI | 1114017498 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 201506) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: NC 201506NP) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: NC 141960RN) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NC 201506) | |
| Enumeration Date | 2006-10-15 |
| Last Update Date | 2024-09-16 |