| NPI | 1285146365 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care (Licence: WA AP61431529) |
| Additional Taxonomies | 175F00000X Naturopath (Licence: VT 099.0134136) |
| 363LP2300X Nurse Practitioner Primary Care (Licence: MA RN2336674) | |
| Enumeration Date | 2017-10-30 |
| Last Update Date | 2024-11-01 |