| NPI | 1689748527 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5004639) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024166648) |
| 163W00000X Registered Nurse (Licence: VA 0001136005) | |
| 163W00000X Registered Nurse (Licence: NC 101983) | |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2024-02-19 |