| NPI | 1841568102 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60251146) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2287169) |
| 363LF0000X Nurse Practitioner, Family (Licence: RI APRN01979) | |
| Enumeration Date | 2011-12-01 |
| Last Update Date | 2024-05-21 |