| NPI | 1861915845 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NE 112280) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL TPAN2650) |
| 363LF0000X Nurse Practitioner, Family (Licence: AL 3-001923) | |
| Enumeration Date | 2017-07-20 |
| Last Update Date | 2024-09-11 |