| NPI | 1952027948 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 26600) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 5017572) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL 11023684) | |
| 363LF0000X Nurse Practitioner, Family (Licence: AL 3-001170) | |
| 363LF0000X Nurse Practitioner, Family (Licence: VA 0024186444) | |
| Enumeration Date | 2022-10-12 |
| Last Update Date | 2023-02-23 |