| NPI | 1447818190 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11010595) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9564961) |
| 363LF0000X Nurse Practitioner, Family (Licence: TN 25285) | |
| Enumeration Date | 2019-05-29 |
| Last Update Date | 2021-10-13 |