| NPI | 1396285466 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA 296625) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 9328002) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9328002) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CT 11978) | |
| Enumeration Date | 2017-03-08 |
| Last Update Date | 2023-06-22 |