| NPI | 1801164926 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 201393041NP-PP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61500987) |
| 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: ID NP1123A) | |
| Enumeration Date | 2011-12-03 |
| Last Update Date | 2023-11-17 |