| NPI | 1679127211 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP020746) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP61146265) |
| 363LF0000X Nurse Practitioner, Family (Licence: WA AP61146265) | |
| Enumeration Date | 2019-08-01 |
| Last Update Date | 2024-07-11 |