| NPI | 1144766767 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CA 95006028) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: OR 202100570NP-PP) |
| 363LF0000X Nurse Practitioner Family (Licence: MT NUR-APRN-LIC-173714) | |
| 363LF0000X Nurse Practitioner Family (Licence: WA AP61052040) | |
| Enumeration Date | 2017-01-07 |
| Last Update Date | 2022-09-30 |