| NPI | 1386095297 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IA A114976) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IA A114976) |
| 163W00000X Registered Nurse (Licence: IA 114976) | |
| Enumeration Date | 2016-06-22 |
| Last Update Date | 2024-04-17 |