| NPI | 1538322060 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ID NP-868A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OR 200850072NP) |
| 363L00000X Nurse Practitioner (Licence: ID NP-868A) | |
| Enumeration Date | 2008-07-03 |
| Last Update Date | 2020-12-29 |