| NPI | 1568757888 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R187634) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD R187634) |
| 163W00000X Registered Nurse (Licence: CA 847325) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CT 004705) | |
| Enumeration Date | 2011-06-15 |
| Last Update Date | 2024-04-11 |