| NPI | 1063876357 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP60933727) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: ID 64689) |
| 363L00000X Nurse Practitioner (Licence: FL APRN11007552) | |
| 363L00000X Nurse Practitioner (Licence: NV 827552) | |
| 363L00000X Nurse Practitioner (Licence: OR 202002029NP-PP) | |
| 363L00000X Nurse Practitioner (Licence: AL 1-127947) | |
| Enumeration Date | 2016-04-12 |
| Last Update Date | 2020-07-14 |