| NPI | 1851372627 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 200944) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: NC 200944) |
| 363L00000X Nurse Practitioner (Licence: NC 200944) | |
| Enumeration Date | 2005-11-09 |
| Last Update Date | 2023-03-07 |