| NPI | 1457546681 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 9490764) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704329314) |
| 163W00000X Registered Nurse (Licence: WI 175143) | |
| 163W00000X Registered Nurse (Licence: MN 244565-0) | |
| 363L00000X Nurse Practitioner (Licence: WI 4337) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MN CNP5118) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MI 4704329314) | |
| 363LF0000X Nurse Practitioner, Family (Licence: WI 4337) | |
| Enumeration Date | 2007-09-11 |
| Last Update Date | 2021-12-06 |