| NPI | 1700375052 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: FL 9402632) |
| Additional Taxonomies | 163WG0000X Registered Nurse General Practice (Licence: FL 9402632) |
| 363L00000X Nurse Practitioner (Licence: FL ARNP9402632) | |
| 363LP2300X Nurse Practitioner Primary Care (Licence: FL ARNP9402632) | |
| Enumeration Date | 2018-05-02 |
| Last Update Date | 2019-05-01 |