| NPI | 1356615637 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ME CNP221479) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60266342) |
| 363LF0000X Nurse Practitioner, Family (Licence: OR 201250027NP) | |
| Enumeration Date | 2012-03-03 |
| Last Update Date | 2023-02-06 |