| NPI | 1376732560 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5004403) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: VA 0024184761) |
| 363L00000X Nurse Practitioner (Licence: NC 5004403) | |
| 363LF0000X Nurse Practitioner, Family (Licence: VA 0024184761) | |
| Enumeration Date | 2007-10-24 |
| Last Update Date | 2024-02-06 |