| NPI | 1215367685 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: ID 68154) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OR 201600702) |
| 363LF0000X Nurse Practitioner Family (Licence: WA AP60628138) | |
| 363LF0000X Nurse Practitioner Family (Licence: UT 5173942-8900) | |
| 363LF0000X Nurse Practitioner Family (Licence: UT 5173942-4405) | |
| Enumeration Date | 2013-11-20 |
| Last Update Date | 2021-11-29 |