| NPI | 1528500618 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA AP08764) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 642330-1) |
| 163W00000X Registered Nurse (Licence: LA RN151692) | |
| 163W00000X Registered Nurse (Licence: FL RN9309759) | |
| Enumeration Date | 2016-11-07 |
| Last Update Date | 2023-01-31 |