| NPI | 1770823916 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: SC 18177) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: AL 1-102656) |
| 363LF0000X Nurse Practitioner Family (Licence: NC 240319) | |
| 207QH0002X Family Medicine Hospice and Palliative Medicine (Licence: NC 240319) | |
| Enumeration Date | 2013-02-25 |
| Last Update Date | 2023-10-11 |