| NPI | 1558894741 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60746640) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95006175) |
| Enumeration Date | 2017-04-05 |
| Last Update Date | 2021-12-06 |