| NPI | 1457466229 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NE 112751) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KS 45084) |
| 363L00000X Nurse Practitioner (Licence: WA AP60338784) | |
| 363LF0000X Nurse Practitioner, Family (Licence: WA AP60338784) | |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2019-09-25 |