| NPI | 1205541380 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: WA AP61491645) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: PA SP026986) |
| Enumeration Date | 2023-01-23 |
| Last Update Date | 2024-04-13 |