| NPI | 1437664778 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5010398) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 178496) |
| 363LF0000X Nurse Practitioner, Family (Licence: NC F06172568) | |
| Enumeration Date | 2017-12-08 |
| Last Update Date | 2022-08-10 |