| NPI | 1578933784 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA rn240129) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NH 060738-21) |
| 163WM0705X Registered Nurse, Medical-Surgical (Licence: GA Rn240129) | |
| Enumeration Date | 2015-09-30 |
| Last Update Date | 2022-04-25 |