| NPI | 1649723305 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP61097973) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY F340862-1) |
| Enumeration Date | 2016-07-29 |
| Last Update Date | 2023-10-09 |