| NPI | 1750691812 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA AP06182) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: LA RN110773-AP06182) |
| 363LF0000X Nurse Practitioner, Family (Licence: MS 904786) | |
| Enumeration Date | 2010-10-07 |
| Last Update Date | 2023-01-04 |