| NPI | 1265900591 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP61340468) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AZ AP11023) |
| 363LF0000X Nurse Practitioner, Family (Licence: WA AP61340468) | |
| 363LF0000X Nurse Practitioner, Family (Licence: AZ AP11023) | |
| Enumeration Date | 2018-11-05 |
| Last Update Date | 2023-10-23 |