| NPI | 1215273230 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60609531) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN159649) |
| 363LF0000X Nurse Practitioner, Family (Licence: AK 105687) | |
| Enumeration Date | 2012-12-19 |
| Last Update Date | 2021-10-01 |