| NPI | 1760994370 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: WA 61085320) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA 60619401) |
| Enumeration Date | 2017-11-05 |
| Last Update Date | 2020-07-22 |