| NPI | 1134468242 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL fo411111) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1114932) |
| 363LF0000X Nurse Practitioner, Family (Licence: AL 1-114932) | |
| Enumeration Date | 2013-02-08 |
| Last Update Date | 2023-06-30 |