| NPI | 1083170070 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA 60942404) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL 11001408) |
| Enumeration Date | 2019-02-14 |
| Last Update Date | 2019-07-31 |