| NPI | 1366800468 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11013340) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9455603) |
| 363L00000X Nurse Practitioner (Licence: FL 11013340) | |
| Enumeration Date | 2016-02-03 |
| Last Update Date | 2024-06-14 |