| NPI | 1619647328 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61208734) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA AP61208734) |
| 363L00000X Nurse Practitioner (Licence: WA AP61208734) | |
| 363L00000X Nurse Practitioner (Licence: CO APN.0998521-NP) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0998521-NP) | |
| Enumeration Date | 2021-09-14 |
| Last Update Date | 2024-02-05 |