| NPI | 1609105246 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL MS4232393) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: SC 3992) |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: FL ARNP9342490) | |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: FL 9342490) | |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: FL ARNP9342490) | |
| Enumeration Date | 2009-12-10 |
| Last Update Date | 2024-06-24 |