| NPI | 1306142518 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NM 73096) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 9395621) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9395621) | |
| Enumeration Date | 2011-02-04 |
| Last Update Date | 2023-04-24 |