| NPI | 1124509864 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60909299) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95009122) |
| Enumeration Date | 2018-08-21 |
| Last Update Date | 2022-03-03 |