| NPI | 1518621051 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: WA 61239353) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: CA 95018933) |
| Enumeration Date | 2021-10-29 |
| Last Update Date | 2022-09-08 |