| NPI | 1548512171 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 9308600) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9308600) |
| 163W00000X Registered Nurse (Licence: AZ 164561) | |
| Enumeration Date | 2012-10-05 |
| Last Update Date | 2023-05-14 |