| NPI | 1609420942 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: WA AP61498015) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: NY 347075) |
| 363LF0000X Nurse Practitioner Family (Licence: MN 6723) | |
| Enumeration Date | 2019-07-25 |
| Last Update Date | 2024-03-01 |