| NPI | 1538615042 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 7199) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP60793192) |
| Enumeration Date | 2016-08-26 |
| Last Update Date | 2023-03-24 |