| NPI | 1265062806 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ID 58846) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP61605194) |
| 363LF0000X Nurse Practitioner, Family (Licence: WA AP61605194) | |
| Enumeration Date | 2020-01-23 |
| Last Update Date | 2025-02-05 |