| NPI | 1639576994 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 6123) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95001912) |
| 363LF0000X Nurse Practitioner, Family (Licence: CO C-RXN.0000486-C-NP) | |
| 363LF0000X Nurse Practitioner, Family (Licence: ND R46409) | |
| 363LF0000X Nurse Practitioner, Family (Licence: IA A151649) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MN 5849) | |
| Enumeration Date | 2014-12-01 |
| Last Update Date | 2018-09-14 |