| NPI | 1760084651 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61134895) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MI 2704298579) |
| Enumeration Date | 2020-11-15 |
| Last Update Date | 2021-12-03 |