| NPI | 1447367206 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 201538) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 086296) |
| 363LF0000X Nurse Practitioner, Family (Licence: SC F4423) | |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2021-08-25 |