| NPI | 1851409353 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MT NUR-APRN-LIC-128407) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP30006859) |
| 363LF0000X Nurse Practitioner, Family (Licence: MT NUR-APRN-LIC-128407) | |
| Enumeration Date | 2006-08-26 |
| Last Update Date | 2021-12-14 |