| NPI | 1033712526 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: OR 202010386NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: WA AP61115242) |
| Enumeration Date | 2020-11-18 |
| Last Update Date | 2022-07-22 |