| NPI | 1346640158 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP61045622) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD AC004568) |
| 363LF0000X Nurse Practitioner, Family (Licence: CT 5882) | |
| Enumeration Date | 2014-08-28 |
| Last Update Date | 2025-02-18 |