| NPI | 1871627539 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NM CNP-02194) |
| Additional Taxonomies | 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: NM R48799) |
| 363LF0000X Nurse Practitioner, Family (Licence: NM CNP 02194) | |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2024-05-06 |