| NPI | 1699151563 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11035134) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: FL 196687) |
| 163W00000X Registered Nurse (Licence: FL 9493141) | |
| Enumeration Date | 2015-08-03 |
| Last Update Date | 2024-09-09 |