| NPI | 1386253714 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP61151485) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: ID 67422) |
| Enumeration Date | 2020-07-31 |
| Last Update Date | 2023-07-05 |