| NPI | 1750927471 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11017495) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61005365) |
| Enumeration Date | 2019-11-19 |
| Last Update Date | 2023-02-28 |