| NPI | 1770193005 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 30136) |
| Additional Taxonomies | 163WH1000X Registered Nurse, Hospice (Licence: FL 9182853) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL 11008559) | |
| 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: FL 11008559) | |
| Enumeration Date | 2020-08-02 |
| Last Update Date | 2022-03-16 |