| NPI | 1588643571 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 18588) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DE LG-0000310) |
| 363LF0000X Nurse Practitioner, Family (Licence: MD R097778) | |
| 363LF0000X Nurse Practitioner, Family (Licence: SC 54-18588) | |
| Enumeration Date | 2006-01-10 |
| Last Update Date | 2024-01-03 |