| NPI | 1912272667 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11032244) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: MD R108242) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: FL 11032244) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MD R108242) | |
| Enumeration Date | 2012-03-14 |
| Last Update Date | 2024-11-05 |