| NPI | 1619443918 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 349681) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60909279) |
| 363LF0000X Nurse Practitioner, Family (Licence: WA AP60919294) | |
| Enumeration Date | 2018-10-15 |
| Last Update Date | 2022-06-14 |