| NPI | 1679097588 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NM 55150) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: IN 71014675A) |
| 363LF0000X Nurse Practitioner, Family (Licence: OK 109536) | |
| Enumeration Date | 2017-08-01 |
| Last Update Date | 2024-01-17 |