| NPI | 1740703941 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61190940) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NM CNP-03294) |
| 163W00000X Registered Nurse (Licence: WA RN61190931) | |
| 363LF0000X Nurse Practitioner, Family (Licence: IL 209018311) | |
| Enumeration Date | 2017-07-19 |
| Last Update Date | 2021-12-02 |