| NPI | 1962926261 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: WA AP61451225) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: CT APRN12.007074) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: NY 309004) | |
| Enumeration Date | 2017-07-28 |
| Last Update Date | 2023-09-06 |