| NPI | 1689337867 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: WA AP61231112) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP61231112) |
| Enumeration Date | 2021-10-14 |
| Last Update Date | 2022-07-18 |