| NPI | 1215482195 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WY 28570.1575) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MT NUR-APRN-LIC-106578) |
| 363LF0000X Nurse Practitioner, Family (Licence: WA AP60825092) | |
| Enumeration Date | 2016-08-20 |
| Last Update Date | 2022-10-13 |