| NPI | 1710473558 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: NC 5010641) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 5010641) |
| 363LF0000X Nurse Practitioner, Family (Licence: NC 5010641) | |
| 363LP1700X Nurse Practitioner, Perinatal (Licence: NC 5010641) | |
| Enumeration Date | 2018-07-05 |
| Last Update Date | 2018-11-27 |