| NPI | 1306276316 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NE 115005) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2013038960) |
| 363LF0000X Nurse Practitioner, Family (Licence: OK C5051016) | |
| Enumeration Date | 2013-11-13 |
| Last Update Date | 2023-10-23 |