| NPI | 1225314792 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: OR 201250017NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: WA N360257589) |
| 363LF0000X Nurse Practitioner Family (Licence: PA SP011437) | |
| Enumeration Date | 2011-10-28 |
| Last Update Date | 2022-07-21 |