| NPI | 1235580630 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ID 71351) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 222008) |
| 363LF0000X Nurse Practitioner, Family (Licence: WA AP61053942) | |
| Enumeration Date | 2016-06-27 |
| Last Update Date | 2023-03-07 |