| NPI | 1568758829 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2019006675) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 149732) |
| 363LF0000X Nurse Practitioner, Family (Licence: TN APN154784) | |
| Enumeration Date | 2011-06-24 |
| Last Update Date | 2024-12-16 |