| NPI | 1528333127 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: MO 2012004441) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60777583) |
| 363LF0000X Nurse Practitioner, Family (Licence: AR A03676) | |
| Enumeration Date | 2012-03-14 |
| Last Update Date | 2022-07-27 |