| NPI | 1548893589 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0996384-NP) |
| Additional Taxonomies | 163WM0102X Registered Nurse, Maternal Newborn (Licence: WA RN60219982) |
| 363LF0000X Nurse Practitioner, Family (Licence: WA ARNP.AP.61072902-NP) | |
| Enumeration Date | 2020-02-18 |
| Last Update Date | 2022-10-03 |