| NPI | 1982671921 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MS R592382) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MS R592382) |
| 363LF0000X Nurse Practitioner, Family (Licence: LA AP07127) | |
| Enumeration Date | 2006-03-08 |
| Last Update Date | 2023-02-07 |