| NPI | 1043555709 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: IA A169395) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: WA AP60490365) |
| Enumeration Date | 2012-12-06 |
| Last Update Date | 2023-09-06 |