| NPI | 1659150654 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5020550) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61422084) |
| Enumeration Date | 2023-09-27 |
| Last Update Date | 2024-12-18 |