| NPI | 1265474100 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 1665-33) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP1989) |
| 363LF0000X Nurse Practitioner, Family (Licence: ME AP101036) | |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2025-01-22 |