| NPI | 1316397805 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WY 55311) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP60672147) |
| Enumeration Date | 2016-06-15 |
| Last Update Date | 2024-12-12 |