| NPI | 1124793419 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95018215) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61155406) |
| Enumeration Date | 2021-08-10 |
| Last Update Date | 2021-08-31 |