| NPI | 1528524337 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 201907459NP-PP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61267458) |
| 363LF0000X Nurse Practitioner, Family (Licence: MI 4704293466) | |
| Enumeration Date | 2019-02-17 |
| Last Update Date | 2024-08-12 |