| NPI | 1376889766 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA 61492153) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 71004238A) |
| Enumeration Date | 2012-12-13 |
| Last Update Date | 2023-11-07 |