| NPI | 1184227068 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: ND R49889) |
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: CA 95063542) |
| 163WM0705X Registered Nurse, Medical-Surgical (Licence: SD R042508) | |
| 363LF0000X Nurse Practitioner, Family (Licence: ND R49889) | |
| Enumeration Date | 2020-11-21 |
| Last Update Date | 2021-08-06 |