| NPI | 1306390430 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 20227) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC DEFA-B904U1) |
| 363LF0000X Nurse Practitioner, Family (Licence: NC 5008816) | |
| Enumeration Date | 2016-08-05 |
| Last Update Date | 2023-08-09 |