| NPI | 1841580610 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DC rn58111) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP4691) |
| 363LF0000X Nurse Practitioner, Family (Licence: MD AC001354) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 21412) | |
| Enumeration Date | 2011-04-14 |
| Last Update Date | 2018-11-07 |