| NPI | 1104324151 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61386007) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95008378) |
| Enumeration Date | 2018-01-24 |
| Last Update Date | 2024-03-19 |