| NPI | 1205422714 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA AP61106215) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: CO 1654594) |
| 363LF0000X Nurse Practitioner, Family (Licence: WA AP61106215) | |
| Enumeration Date | 2020-12-18 |
| Last Update Date | 2023-06-05 |