| NPI | 1588174403 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171000000X Military Health Care Provider (Licence: WA AP61063188) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61063188) |
| Enumeration Date | 2017-10-05 |
| Last Update Date | 2023-06-15 |