| NPI | 1669843447 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NV APRN002073) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60971525) |
| Enumeration Date | 2015-10-19 |
| Last Update Date | 2023-08-11 |