| NPI | 1497095103 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NV APRN002826) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP60568533) |
| 363LF0000X Nurse Practitioner Family (Licence: TX 823528) | |
| Enumeration Date | 2013-02-18 |
| Last Update Date | 2018-08-31 |