| NPI | 1336395300 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NC 5008300) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: FL 9249721) |
| 363L00000X Nurse Practitioner (Licence: NC 282524) | |
| 363LA2200X Nurse Practitioner Adult Health (Licence: NH 063922-23) | |
| Enumeration Date | 2008-08-11 |
| Last Update Date | 2022-08-11 |