| NPI | 1487385506 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ID 53903) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61327612) |
| Enumeration Date | 2022-06-20 |
| Last Update Date | 2023-06-04 |