| NPI | 1275503468 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11017334) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP 3401792) |
| 363LF0000X Nurse Practitioner, Family (Licence: NC 5005191) | |
| Enumeration Date | 2006-01-23 |
| Last Update Date | 2022-03-02 |