| NPI | 1235516352 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ND R46702) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KS 76772) |
| 363L00000X Nurse Practitioner (Licence: WA 60776009) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MO 2015007607) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA 2017002386) | |
| Enumeration Date | 2015-04-27 |
| Last Update Date | 2021-04-08 |