| NPI | 1669614855 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: WA AP60966271) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: HI 1773) |
| 363LF0000X Nurse Practitioner Family (Licence: MD R191342) | |
| 363LF0000X Nurse Practitioner Family (Licence: VA 0024168256) | |
| Enumeration Date | 2009-04-02 |
| Last Update Date | 2020-09-09 |