| NPI | 1609903376 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP2596372) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD R158892) |
| 363LF0000X Nurse Practitioner, Family (Licence: DC RN1005964) | |
| 364SF0001X Clinical Nurse Specialist, Family Health (Licence: OK R0088547) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NY 4288531) | |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2016-02-04 |