| NPI | 1497368112 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA 61103797) |
| Additional Taxonomies | 163WP2201X Registered Nurse, Ambulatory Care (Licence: FL 9362824) |
| Enumeration Date | 2020-08-24 |
| Last Update Date | 2021-01-19 |