| NPI | 1457623027 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61151144) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: DE L1-0041370) |
| 163W00000X Registered Nurse (Licence: NJ 26NR14366000) | |
| 363LF0000X Nurse Practitioner, Family (Licence: DE LG-0000588) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00361700) | |
| Enumeration Date | 2012-01-30 |
| Last Update Date | 2021-05-25 |