| NPI | 1871020925 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NC 5009511) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NC 5009511) |
| 363L00000X Nurse Practitioner (Licence: NC 5009511) | |
| 363LF0000X Nurse Practitioner Family (Licence: NC SESS-QNKMT3) | |
| 363LP2300X Nurse Practitioner Primary Care (Licence: NC 5009511) | |
| Enumeration Date | 2017-05-20 |
| Last Update Date | 2021-09-29 |