| NPI | 1780193656 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP61477594) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN61284655) |
| 363L00000X Nurse Practitioner (Licence: FL APRN9303874) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: FL ARNP9303874) | |
| Enumeration Date | 2017-09-23 |
| Last Update Date | 2023-10-12 |