| NPI | 1750065462 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F337743-01) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA N361449896) |
| 363LF0000X Nurse Practitioner, Family (Licence: ID 67722) | |
| Enumeration Date | 2023-06-13 |
| Last Update Date | 2023-06-13 |