| NPI | 1578844742 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: KY 3007252) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: VA 24176154) |
| 363LF0000X Nurse Practitioner Family (Licence: CA 95000126) | |
| 363LF0000X Nurse Practitioner Family (Licence: IN 71003672A) | |
| 363LF0000X Nurse Practitioner Family (Licence: NC 5008373) | |
| Enumeration Date | 2011-09-01 |
| Last Update Date | 2022-12-09 |