| NPI | 1386029163 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NV 816422) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP60591634) |
| 363LP2300X Nurse Practitioner Primary Care (Licence: WA AP60591634) | |
| 363LF0000X Nurse Practitioner Family (Licence: WA F0715892) | |
| Enumeration Date | 2015-07-22 |
| Last Update Date | 2022-05-03 |