| NPI | 1245782390 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: WA AP61468464) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: FL ARNP 9378924) |
| 363LF0000X Nurse Practitioner Family (Licence: OR 202114868NP-PP) | |
| Enumeration Date | 2016-10-25 |
| Last Update Date | 2023-10-11 |