| NPI | 1437489119 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NV APRN001078) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP60922999) |
| 363LF0000X Nurse Practitioner, Family (Licence: ID CNP62506) | |
| Enumeration Date | 2010-01-02 |
| Last Update Date | 2023-03-20 |