| NPI | 1093178402 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: AZ 304670) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: OR 201707760NP-PP) |
| 363LF0000X Nurse Practitioner Family (Licence: HI APRN 2097) | |
| Enumeration Date | 2016-04-02 |
| Last Update Date | 2024-06-03 |