| NPI | 1447795430 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11008823) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60715982) |
| 163W00000X Registered Nurse (Licence: FL RN9385742) | |
| Enumeration Date | 2016-12-29 |
| Last Update Date | 2020-11-30 |