| NPI | 1669986550 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA 60811339) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: RI APRN01715) |
| Enumeration Date | 2017-11-30 |
| Last Update Date | 2019-09-25 |