| NPI | 1811573850 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ID 64873) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: ID 40628) |
| 163W00000X Registered Nurse (Licence: CA 713689) | |
| 363L00000X Nurse Practitioner (Licence: ID 64873) | |
| Enumeration Date | 2021-03-21 |
| Last Update Date | 2021-03-21 |