| NPI | 1477958494 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 201407668NP-PP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: ID N-1512A) |
| 363L00000X Nurse Practitioner (Licence: WA AP61055386) | |
| Enumeration Date | 2014-11-03 |
| Last Update Date | 2021-10-08 |