| NPI | 1346667128 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61132472) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MT NUR-APRN-LIC-195145) |
| 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0990964-NP) | |
| Enumeration Date | 2014-03-18 |
| Last Update Date | 2024-02-19 |