| NPI | 1629716519 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ID 72738) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60618195) |
| 163W00000X Registered Nurse (Licence: ID 51779) | |
| Enumeration Date | 2022-05-22 |
| Last Update Date | 2024-04-25 |