| NPI | 1083178347 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11001208) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60954816) |
| Enumeration Date | 2019-01-30 |
| Last Update Date | 2023-03-15 |