| NPI | 1407529878 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2023030484) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AR 217125) |
| 363LF0000X Nurse Practitioner, Family (Licence: AR R097647) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MO 2023030278) | |
| Enumeration Date | 2021-07-30 |
| Last Update Date | 2023-08-27 |