| NPI | 1174033104 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA ap60983687) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NV APRN002749) |
| Enumeration Date | 2017-10-04 |
| Last Update Date | 2024-04-17 |