| NPI | 1407231590 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 10017616) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F339376-1) |
| 363LF0000X Nurse Practitioner, Family (Licence: VT 101.0134159) | |
| 363LF0000X Nurse Practitioner, Family (Licence: SC 24839) | |
| Enumeration Date | 2015-07-30 |
| Last Update Date | 2024-02-03 |