| NPI | 1710473590 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA AP60866033) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: WA AP60866033) |
| Enumeration Date | 2018-07-05 |
| Last Update Date | 2024-09-12 |