| NPI | 1386274520 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NE 114134) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: FL APRN11004543) |
| 363L00000X Nurse Practitioner (Licence: NE 114134) | |
| Enumeration Date | 2020-01-15 |
| Last Update Date | 2024-06-03 |