| NPI | 1992773758 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: WA AP60911397) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: MA 2336953) |
| 363LF0000X Nurse Practitioner Family (Licence: AZ AP0890) | |
| 363LF0000X Nurse Practitioner Family (Licence: CA NP11518) | |
| 363LF0000X Nurse Practitioner Family (Licence: ME CNP171180) | |
| 363LP2300X Nurse Practitioner Primary Care (Licence: CA RN566238) | |
| Enumeration Date | 2006-03-09 |
| Last Update Date | 2025-03-27 |