| NPI | 1649558974 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: OR 201910857NP-PP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: WA AP60569994) |
| 363LF0000X Nurse Practitioner Family (Licence: MT NUR-APRN-LIC-174311) | |
| 363LF0000X Nurse Practitioner Family (Licence: AK 170192) | |
| Enumeration Date | 2011-08-03 |
| Last Update Date | 2022-03-02 |