| NPI | 1508562869 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO 0998348) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61371368) |
| Enumeration Date | 2023-02-07 |
| Last Update Date | 2023-08-14 |