| NPI | 1770035248 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R232956) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP60790736) |
| 363L00000X Nurse Practitioner (Licence: WA RN60790807) | |
| Enumeration Date | 2016-10-31 |
| Last Update Date | 2019-05-22 |