| NPI | 1316244106 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5006306) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 5006306) |
| 363LF0000X Nurse Practitioner, Family (Licence: VA 0024169221) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NC 265459) | |
| Enumeration Date | 2011-02-15 |
| Last Update Date | 2023-08-10 |