| NPI | 1730531021 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60998217) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F340662) |
| 363LF0000X Nurse Practitioner, Family (Licence: ME CNP161136) | |
| Enumeration Date | 2016-07-11 |
| Last Update Date | 2023-11-27 |