| NPI | 1578278172 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61590510) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP61590510) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: CO APN.0998223-NP) | |
| Enumeration Date | 2023-01-18 |
| Last Update Date | 2024-08-12 |