| NPI | 1942218573 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5001264) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NC 005001264) |
| 363LF0000X Nurse Practitioner, Family (Licence: NC 005001264) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 5001264) | |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2022-11-03 |