| NPI | 1720541683 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA N361025137) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KS 115697) |
| Enumeration Date | 2019-04-08 |
| Last Update Date | 2022-06-30 |