| NPI | 1255853701 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5009695) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 5009695) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NC 5009695) | |
| Enumeration Date | 2017-07-15 |
| Last Update Date | 2022-11-18 |