| NPI | 1205307097 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ID 60960) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61117760) |
| 363LF0000X Nurse Practitioner, Family (Licence: OR 202112436) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MT APRN-204569) | |
| 363LF0000X Nurse Practitioner, Family (Licence: WY 39733.1780) | |
| Enumeration Date | 2018-12-06 |
| Last Update Date | 2023-11-08 |