| NPI | 1518235001 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AK 174080) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP60616028) |
| 363L00000X Nurse Practitioner (Licence: OR 202102266NP-PP) | |
| 363L00000X Nurse Practitioner (Licence: WA RN60614561) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MT 100990) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NY F336769) | |
| Enumeration Date | 2011-12-12 |
| Last Update Date | 2021-08-10 |