| NPI | 1891023529 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP10966) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IA A090940) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NE 111725) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MO 2010001473) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NE 111725) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: NE 111725) | |
| Enumeration Date | 2009-11-18 |
| Last Update Date | 2022-03-15 |