| NPI | 1275927923 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 7791-33) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA SP019113) |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 95006609) | |
| Enumeration Date | 2015-03-20 |
| Last Update Date | 2023-06-01 |