| NPI | 1578903902 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R227723) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95192476) |
| 163W00000X Registered Nurse (Licence: MD R227723) | |
| 163W00000X Registered Nurse (Licence: NE 68547) | |
| 363L00000X Nurse Practitioner (Licence: NE 113864) | |
| Enumeration Date | 2013-06-29 |
| Last Update Date | 2023-09-28 |