| NPI | 1528566866 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP61052653) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: LA AP09781) |
| Enumeration Date | 2018-01-31 |
| Last Update Date | 2022-10-05 |