| NPI | 1710199427 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP30007699) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OR 202010154NP-PP) |
| 363LF0000X Nurse Practitioner, Family (Licence: MT NUR-APRN-LIC-165135) | |
| 363LF0000X Nurse Practitioner, Family (Licence: AK 168296) | |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 1048171) | |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2022-02-02 |