| NPI | 1154837847 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA 61422614) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AK 156569) |
| 363LF0000X Nurse Practitioner, Family (Licence: VA 0024180624) | |
| 363LF0000X Nurse Practitioner, Family (Licence: HI 2382) | |
| 363LF0000X Nurse Practitioner, Family (Licence: RI 03045) | |
| Enumeration Date | 2017-12-18 |
| Last Update Date | 2023-11-20 |