| NPI | 1316454234 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60972605) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: RI APRN01740) |
| 363LF0000X Nurse Practitioner, Family (Licence: CT 147769) | |
| Enumeration Date | 2017-12-30 |
| Last Update Date | 2020-01-29 |