| NPI | 1649880287 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA N361307344) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD R199731) |
| Enumeration Date | 2020-08-07 |
| Last Update Date | 2022-06-03 |