| NPI | 1962688788 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60650034) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP116342) |
| 363LF0000X Nurse Practitioner, Family (Licence: AZ 219835) | |
| 363LF0000X Nurse Practitioner, Family (Licence: OR 201907446NP-PP) | |
| 363LF0000X Nurse Practitioner, Family (Licence: AK 133766) | |
| Enumeration Date | 2008-01-10 |
| Last Update Date | 2023-08-03 |