| NPI | 1114019247 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61001571) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC 18229) |
| 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ01470900) | |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2024-04-10 |