| NPI | 1407101884 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5013081) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NC 5013081) |
| 363LF0000X Nurse Practitioner, Family (Licence: WA AP60282469) | |
| 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11000163) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 95006520) | |
| Enumeration Date | 2012-07-20 |
| Last Update Date | 2023-02-20 |