| NPI | 1962129916 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11022601) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO 0101957) |
| 363LF0000X Nurse Practitioner, Family (Licence: DE LG0012788) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NY F354052) | |
| Enumeration Date | 2022-10-20 |
| Last Update Date | 2024-09-10 |