| NPI | 1689063323 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NM CNP-02956) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NM R57758) |
| 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: NM R57758) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NM CNP-02956) | |
| Enumeration Date | 2015-01-19 |
| Last Update Date | 2021-05-26 |