| NPI | 1144753088 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60840779) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024174434) |
| Enumeration Date | 2017-04-07 |
| Last Update Date | 2021-04-08 |