| NPI | 1780072868 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: NV 831710) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28203283A) |
| 363LF0000X Nurse Practitioner, Family (Licence: IN 28203283A) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 95008353) | |
| Enumeration Date | 2014-12-24 |
| Last Update Date | 2021-08-06 |