| NPI | 1891709028 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: WA AP30001198) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: ID NP-1481A) |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2024-08-30 |