| NPI | 1457504052 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11017112) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN 9203682) |
| 363LF0000X Nurse Practitioner, Family (Licence: TN 28453) | |
| Enumeration Date | 2008-10-28 |
| Last Update Date | 2024-03-09 |