| NPI | 1003258120 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NV 811768) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ 278402) |
| 363LF0000X Nurse Practitioner, Family (Licence: OR 201506922NP-PP) | |
| Enumeration Date | 2013-07-18 |
| Last Update Date | 2023-01-23 |