| NPI | 1659629483 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MT 143721) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: VA 0024170298) |
| 363LF0000X Nurse Practitioner Family (Licence: OR 201709803NP-PP) | |
| 363LF0000X Nurse Practitioner Family (Licence: MI 4704369510) | |
| 363LF0000X Nurse Practitioner Family (Licence: MA RN267597) | |
| Enumeration Date | 2012-08-28 |
| Last Update Date | 2024-04-19 |