| NPI | 1770124760 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: WA AP61385531) |
| Additional Taxonomies | 163WS0200X Registered Nurse, School (Licence: HI 93942) |
| Enumeration Date | 2019-10-01 |
| Last Update Date | 2022-12-09 |