| NPI | 1518984038 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: SC 17779) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: SC APN17779) |
| 363LF0000X Nurse Practitioner Family (Licence: NH 039987-23-03) | |
| 363LF0000X Nurse Practitioner Family (Licence: NC 5006386) | |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2019-01-26 |