| NPI | 1790027357 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2013009204) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 95004121) |
| 363LF0000X Nurse Practitioner, Family (Licence: PA sp016093) | |
| 363LF0000X Nurse Practitioner, Family (Licence: KS 53-76627) | |
| Enumeration Date | 2013-03-21 |
| Last Update Date | 2019-10-25 |