| NPI | 1003207655 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: AZ RN152456) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: WA AP60767614) |
| Enumeration Date | 2015-02-17 |
| Last Update Date | 2024-06-06 |