| NPI | 1861947491 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 26631) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA RN95111221) |
| 163W00000X Registered Nurse (Licence: TX 913263) | |
| 363L00000X Nurse Practitioner (Licence: FL 9486146) | |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 913263) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MA RN2302156) | |
| Enumeration Date | 2016-08-24 |
| Last Update Date | 2023-02-27 |