| NPI | 1679857833 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP61127305) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ RN137682) |
| 363L00000X Nurse Practitioner (Licence: AZ AP4287) | |
| Enumeration Date | 2011-10-06 |
| Last Update Date | 2021-08-27 |