| NPI | 1487023313 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: SC 26466) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: CT 12.006293) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: CO 0992592) | |
| Enumeration Date | 2015-09-22 |
| Last Update Date | 2022-10-05 |