| NPI | 1063745735 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ME CNP91051) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA RN60829739) |
| 363L00000X Nurse Practitioner (Licence: WA AP60829868) | |
| 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9346156) | |
| Enumeration Date | 2009-09-14 |
| Last Update Date | 2022-12-15 |