| NPI | 1225664386 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP611011578) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: UT 217314-4405) |
| Enumeration Date | 2020-03-20 |
| Last Update Date | 2024-12-09 |