| NPI | 1255944278 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: WA AP61068374) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: MT NUR-APRN-LIC-161068) |
| Enumeration Date | 2020-08-28 |
| Last Update Date | 2023-06-20 |