| NPI | 1043842743 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61078491) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NM F05200168) |
| Enumeration Date | 2020-02-10 |
| Last Update Date | 2022-03-04 |