| NPI | 1336494509 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60818381) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WY 30835.1183) |
| 363LF0000X Nurse Practitioner, Family (Licence: CO 0990641) | |
| Enumeration Date | 2012-07-13 |
| Last Update Date | 2021-06-07 |