| NPI | 1255832770 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2353820) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: OR 200640556RN) |
| 363LF0000X Nurse Practitioner, Family (Licence: WA AP60911406) | |
| Enumeration Date | 2018-02-21 |
| Last Update Date | 2021-10-06 |