| NPI | 1912973181 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP60313230) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: ID NP-1145A) |
| 363LF0000X Nurse Practitioner, Family (Licence: OR 201050193NP) | |
| 363LF0000X Nurse Practitioner, Family (Licence: IL 209-003819) | |
| 363LF0000X Nurse Practitioner, Family (Licence: WA AP60313230) | |
| Enumeration Date | 2006-02-27 |
| Last Update Date | 2024-02-06 |