| NPI | 1508222019 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60911804) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-117440) |
| Enumeration Date | 2016-01-13 |
| Last Update Date | 2021-04-19 |