| NPI | 1548871007 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN2328532) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP61087222) |
| Enumeration Date | 2020-08-10 |
| Last Update Date | 2023-12-20 |