| NPI | 1730899451 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61526461) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95023270) |
| Enumeration Date | 2022-12-05 |
| Last Update Date | 2024-06-05 |