| NPI | 1861402224 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ID 71088) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61239730) |
| 363LF0000X Nurse Practitioner, Family (Licence: CA RN368937) | |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2024-10-21 |