| NPI | 1477708816 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL aprn11015289) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 152769) |
| 363LF0000X Nurse Practitioner, Family (Licence: MO 2012004975) | |
| Enumeration Date | 2008-11-26 |
| Last Update Date | 2024-09-18 |