| NPI | 1932362712 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5014427) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 5014427) |
| 363LF0000X Nurse Practitioner, Family (Licence: LA AP05468) | |
| 363LF0000X Nurse Practitioner, Family (Licence: LA RN076848) | |
| Enumeration Date | 2008-07-02 |
| Last Update Date | 2023-06-24 |