| NPI | 1144671538 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: LA AP09255) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: IA H134109) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: MS 904776) | |
| Enumeration Date | 2016-06-27 |
| Last Update Date | 2022-07-21 |