| NPI | 1154833853 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 202000439NP-PP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP60940493) |
| 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0993377-NP) | |
| Enumeration Date | 2017-11-02 |
| Last Update Date | 2023-12-19 |