| NPI | 1568960466 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: AZ AP10932) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: WA AP60832750) |
| Enumeration Date | 2018-01-25 |
| Last Update Date | 2021-03-17 |