| NPI | 1992947568 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IA A158353) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 14014) |
| 363LF0000X Nurse Practitioner, Family (Licence: AZ 239300) | |
| 363LF0000X Nurse Practitioner, Family (Licence: TN 14014) | |
| Enumeration Date | 2009-03-29 |
| Last Update Date | 2022-01-24 |