| NPI | 1558012443 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA 61333158) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA NP95019313) |
| Enumeration Date | 2022-01-12 |
| Last Update Date | 2023-11-15 |