| NPI | 1336789551 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: WA AP61014275) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner Primary Care (Licence: WA AP61014275) |
| Enumeration Date | 2020-01-15 |
| Last Update Date | 2022-12-06 |