| NPI | 1811078298 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: ND R46932) |
| Additional Taxonomies | 163WP0808X Registered Nurse Psychiatric/Mental Health (Licence: MI 4704201918) |
| 163WG0000X Registered Nurse General Practice (Licence: CO 128553) | |
| 363LF0000X Nurse Practitioner Family (Licence: MI 4704201918) | |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2019-01-04 |