| NPI | 1275027690 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD AC004307) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: MD AC004307) |
| 163W00000X Registered Nurse (Licence: AK 128653) | |
| Enumeration Date | 2018-06-19 |
| Last Update Date | 2023-03-30 |