| NPI | 1093299547 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP60905789) |
| Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine (Licence: NV 814385) |
| Enumeration Date | 2018-09-20 |
| Last Update Date | 2022-08-05 |