| NPI | 1366754012 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC APN.24199) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: OH COA11531) |
| 363L00000X Nurse Practitioner (Licence: NC 5009361) | |
| 363LF0000X Nurse Practitioner, Family (Licence: SC 24199) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: SC APN.24199) | |
| Enumeration Date | 2010-07-10 |
| Last Update Date | 2021-02-10 |