| NPI | 1669809141 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 18003) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 5009838) |
| 363LF0000X Nurse Practitioner, Family (Licence: NC 5009838) | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: NC 5009838) | |
| Enumeration Date | 2013-09-30 |
| Last Update Date | 2023-09-28 |