| NPI | 1326807116 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP61572189) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN11031849) |
| Enumeration Date | 2024-03-15 |
| Last Update Date | 2024-08-09 |