| NPI | 1306079900 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IA A127646) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MT 199433) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: IA A127646) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MT 199433) | |
| 363LF0000X Nurse Practitioner, Family (Licence: WA AP60104045) | |
| Enumeration Date | 2009-08-29 |
| Last Update Date | 2022-11-14 |