| NPI | 1013329002 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 201605458NP-PP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MT NUR-APRN-LIC-157784) |
| 363LF0000X Nurse Practitioner, Family (Licence: WA AP61009656) | |
| 363LF0000X Nurse Practitioner, Family (Licence: TX AP125699) | |
| Enumeration Date | 2014-05-23 |
| Last Update Date | 2020-10-02 |