| NPI | 1497226468 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5011463) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 274604) |
| 207Q00000X Family Medicine (Licence: NC 5011463) | |
| 363L00000X Nurse Practitioner (Licence: NC 274604) | |
| Enumeration Date | 2018-12-16 |
| Last Update Date | 2023-08-03 |