| NPI | 1588771182 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS 810229) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AR A03014ANP) |
| 163W00000X Registered Nurse (Licence: AR R79157) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MS R78522) | |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2021-03-08 |