| NPI | 1609809243 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MS 906283) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP60072704) |
| 363L00000X Nurse Practitioner (Licence: NH 078577-23) | |
| 363LF0000X Nurse Practitioner, Family (Licence: ME CNP181089) | |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2024-01-05 |