| NPI | 1689140832 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2018035339) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61539754) |
| Enumeration Date | 2018-10-15 |
| Last Update Date | 2025-01-15 |