| NPI | 1619481421 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60813323) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ 178400) |
| 364S00000X Clinical Nurse Specialist (Licence: SC APRN26974) | |
| Enumeration Date | 2017-12-01 |
| Last Update Date | 2023-12-08 |