| NPI | 1649830886 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: WA AP60975350) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: NC 5013997) |
| Enumeration Date | 2019-06-19 |
| Last Update Date | 2021-01-21 |