| NPI | 1447423751 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11025472) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001069815) |
| 363L00000X Nurse Practitioner (Licence: VA 0024167798) | |
| Enumeration Date | 2008-04-08 |
| Last Update Date | 2023-07-11 |