| NPI | 1962613059 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60455443) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN177668NP) |
| 363LF0000X Nurse Practitioner, Family (Licence: OR 200850125NP) | |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2021-04-01 |