| NPI | 1659811214 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61311194) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95011235) |
| 363LF0000X Nurse Practitioner, Family (Licence: VA 0024174623) | |
| Enumeration Date | 2017-03-02 |
| Last Update Date | 2022-09-20 |