| NPI | 1487244711 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP61136177) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA 61136177) |
| Enumeration Date | 2021-01-20 |
| Last Update Date | 2021-12-17 |