| NPI | 1427421601 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5013769) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704302382) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX AP138953) | |
| Enumeration Date | 2015-11-10 |
| Last Update Date | 2024-02-26 |