| NPI | 1780983445 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 278172) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2011003656) |
| 363LF0000X Nurse Practitioner, Family (Licence: KS 53-75664-052) | |
| Enumeration Date | 2011-03-21 |
| Last Update Date | 2025-01-18 |