| NPI | 1629557459 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60882988) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: WA AP60882988) |
| Enumeration Date | 2018-08-13 |
| Last Update Date | 2021-04-16 |