| NPI | 1801209929 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60715195) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024171276) |
| 363L00000X Nurse Practitioner (Licence: WA AP 60715195) | |
| Enumeration Date | 2014-06-05 |
| Last Update Date | 2018-03-17 |