| NPI | 1770746430 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5009761) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: CO 0097165-NP) |
| 363LF0000X Nurse Practitioner Family (Licence: PA SP012015) | |
| 363LF0000X Nurse Practitioner Family (Licence: NC 5009761) | |
| 363LF0000X Nurse Practitioner Family (Licence: TN 33505) | |
| Enumeration Date | 2008-07-02 |
| Last Update Date | 2025-07-07 |