| NPI | 1518437284 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11004305) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 71008612A) |
| 163W00000X Registered Nurse (Licence: FL 9520234) | |
| 163WM0705X Registered Nurse, Medical-Surgical (Licence: IN 28202517A) | |
| Enumeration Date | 2018-11-26 |
| Last Update Date | 2020-10-02 |