| NPI | 1477122984 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61200546) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NV 840926) |
| Enumeration Date | 2021-06-18 |
| Last Update Date | 2023-09-22 |