| NPI | 1588060636 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: VA 0024178414) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: WA AP60511741) |
| 363LA2200X Nurse Practitioner Adult Health (Licence: CA 95009213) | |
| 363LA2200X Nurse Practitioner Adult Health (Licence: VA 0024178414) | |
| Enumeration Date | 2014-11-17 |
| Last Update Date | 2023-03-27 |