| NPI | 1427305275 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: WA AP60467455) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: OK 89083) |
| Enumeration Date | 2012-08-11 |
| Last Update Date | 2021-01-10 |