| NPI | 1275938896 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OR 201707472NP-PP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP9328814) |
| 363L00000X Nurse Practitioner (Licence: WA AP60781553) | |
| Enumeration Date | 2014-10-24 |
| Last Update Date | 2022-12-01 |