| NPI | 1215509203 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61403501) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL 11004434) |
| Enumeration Date | 2021-07-11 |
| Last Update Date | 2024-04-25 |