| NPI | 1215577994 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61034066) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TN 26859) |
| Enumeration Date | 2020-01-10 |
| Last Update Date | 2023-11-02 |