| NPI | 1366871865 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IA A147947) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP3211442) |
| 363LF0000X Nurse Practitioner, Family (Licence: ND R42372) | |
| Enumeration Date | 2013-11-05 |
| Last Update Date | 2023-12-28 |