| NPI | 1801165105 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DC NP1050173) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9270095) |
| 363LF0000X Nurse Practitioner, Family (Licence: MD AC002580) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 95006148) | |
| Enumeration Date | 2011-12-15 |
| Last Update Date | 2022-11-01 |