| NPI | 1336418425 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IA A-100178) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: NE 111333) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: IA A-100178) | |
| Enumeration Date | 2011-12-20 |
| Last Update Date | 2021-06-14 |