| NPI | 1932685724 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL F05180865) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95027647) |
| 363LF0000X Nurse Practitioner, Family (Licence: NV 869986) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MI 4704407737) | |
| Enumeration Date | 2018-07-14 |
| Last Update Date | 2023-11-15 |