| NPI | 1396330387 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WV 106901) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: UT 13730761-4405) |
| 363LF0000X Nurse Practitioner, Family (Licence: WA 61124627) | |
| Enumeration Date | 2021-03-02 |
| Last Update Date | 2025-02-21 |