| NPI | 1740395219 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NE 110337) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NE 110337) |
| 163WC1500X Registered Nurse Community Health (Licence: NE 110337) | |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2024-08-02 |