| NPI | 1821486457 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0995499) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61601859) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL 9395799) | |
| Enumeration Date | 2015-01-06 |
| Last Update Date | 2024-09-19 |