| NPI | 1447868559 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP027689) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP61085878) |
| Enumeration Date | 2020-07-15 |
| Last Update Date | 2023-10-03 |