| NPI | 1578854188 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: WA AP60839116) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: CO APN.0991075-NP) |
| 363LF0000X Nurse Practitioner Family (Licence: WY 33548.1313) | |
| 363LF0000X Nurse Practitioner Family (Licence: OR 201503277MP-PP) | |
| Enumeration Date | 2011-04-29 |
| Last Update Date | 2021-12-14 |