| NPI | 1982952065 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2298701) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 201508906RN) |
| 163W00000X Registered Nurse (Licence: AZ RN122097) | |
| 363LF0000X Nurse Practitioner, Family (Licence: AZ AP4588) | |
| 363LF0000X Nurse Practitioner, Family (Licence: OR 201509190NP-PP) | |
| Enumeration Date | 2012-08-21 |
| Last Update Date | 2018-03-17 |