| NPI | 1215699178 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP61392605) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: HI 3330) |
| 363LF0000X Nurse Practitioner, Family (Licence: WA AP61392605) | |
| Enumeration Date | 2021-10-08 |
| Last Update Date | 2023-10-05 |