| NPI | 1538791447 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61367319) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95014016) |
| Enumeration Date | 2020-02-08 |
| Last Update Date | 2024-01-22 |