| NPI | 1821503111 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: OR 10010881) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL 9181104) |
| 363LP2300X Nurse Practitioner Primary Care (Licence: FL APRN9181104) | |
| Enumeration Date | 2017-12-07 |
| Last Update Date | 2023-12-19 |