| NPI | 1386058345 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MT NUR-APRN-LIC-100778) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: WA AP60763595) |
| 364SF0001X Clinical Nurse Specialist Family Health (Licence: MT NUR-APRN-LIC-100778) | |
| Enumeration Date | 2014-06-18 |
| Last Update Date | 2024-05-01 |