| NPI | 1235567751 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NC 5016567) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 5016567) |
| 363L00000X Nurse Practitioner (Licence: FL ARNP9252525) | |
| 363LF0000X Nurse Practitioner Family (Licence: WA AP60638145) | |
| Enumeration Date | 2013-10-18 |
| Last Update Date | 2023-10-06 |