| NPI | 1588334924 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS 904794) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MS 904794) |
| 363L00000X Nurse Practitioner (Licence: MS 904794) | |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: MS 904794) | |
| Enumeration Date | 2021-09-16 |
| Last Update Date | 2022-03-13 |