| NPI | 1457622078 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: ID NP1151) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: WA AP60658014) |
| Enumeration Date | 2012-01-13 |
| Last Update Date | 2023-02-10 |