| NPI | 1063582658 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 201099) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AK 791) |
| 363LF0000X Nurse Practitioner, Family (Licence: WA AP61034111) | |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2023-05-26 |