| NPI | 1316563091 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61084806) |
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: VA 0001286995) |
| 363LF0000X Nurse Practitioner, Family (Licence: VA 0024179524) | |
| Enumeration Date | 2020-06-18 |
| Last Update Date | 2021-01-18 |