| NPI | 1538460688 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 20861) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 234690) |
| 163W00000X Registered Nurse (Licence: NC 234690) | |
| Enumeration Date | 2010-11-05 |
| Last Update Date | 2022-07-21 |