| NPI | 1740541713 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: PA SP013972) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: CT 6568) |
| 363LF0000X Nurse Practitioner Family (Licence: IN 71013303A) | |
| 363LF0000X Nurse Practitioner Family (Licence: FL APRN11030258) | |
| 363LF0000X Nurse Practitioner Family (Licence: TN 31670) | |
| Enumeration Date | 2012-06-06 |
| Last Update Date | 2024-04-02 |