| NPI | 1215454418 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS 902201) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: LA 157298) |
| 163W00000X Registered Nurse (Licence: MS 886293) | |
| 363LF0000X Nurse Practitioner, Family (Licence: LA AP09581) | |
| Enumeration Date | 2017-08-28 |
| Last Update Date | 2023-11-08 |