| NPI | 1992975056 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: LA AP05411) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MS 902322) |
| 363LF0000X Nurse Practitioner, Family (Licence: LA AP05411) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MS 902322) | |
| Enumeration Date | 2008-03-05 |
| Last Update Date | 2020-11-04 |