| NPI | 1124594015 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61194166) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95009495) |
| Enumeration Date | 2018-10-17 |
| Last Update Date | 2022-01-18 |