| NPI | 1174833834 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 10497) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP61242876) |
| 363LF0000X Nurse Practitioner, Family (Licence: GA RN191033) | |
| 363LF0000X Nurse Practitioner, Family (Licence: WA AP61242876) | |
| Enumeration Date | 2010-10-15 |
| Last Update Date | 2024-09-04 |