| NPI | 1326399189 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: WA AP60299882) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: OR 201402778NP-PP) |
| Enumeration Date | 2012-09-19 |
| Last Update Date | 2024-10-28 |