| NPI | 1093482937 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61343174) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 347696) |
| Enumeration Date | 2021-08-27 |
| Last Update Date | 2023-10-28 |