| NPI | 1740725498 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN0996226) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61216204) |
| Enumeration Date | 2017-01-04 |
| Last Update Date | 2024-07-03 |