| NPI | 1205307949 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: WA AP60910482) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner Primary Care (Licence: WA AP60910482) |
| Enumeration Date | 2018-12-06 |
| Last Update Date | 2020-09-14 |