| NPI | 1588055719 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60886780) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 9398858) |
| Enumeration Date | 2015-02-10 |
| Last Update Date | 2022-10-04 |