| NPI | 1609198761 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 111217) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: NC 111217) |
| 363LF0000X Nurse Practitioner, Family (Licence: MT 235023) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MN 4911) | |
| Enumeration Date | 2010-02-17 |
| Last Update Date | 2024-08-06 |