| NPI | 1619517455 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61502179) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95012481) |
| Enumeration Date | 2020-01-09 |
| Last Update Date | 2024-02-14 |