| NPI | 1447597075 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO 0998603) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN 60152809) |
| Enumeration Date | 2013-01-16 |
| Last Update Date | 2023-08-25 |