| NPI | 1801369921 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61002103) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AK 188570) |
| 363LF0000X Nurse Practitioner, Family (Licence: MO 2018043748) | |
| Enumeration Date | 2019-01-11 |
| Last Update Date | 2024-11-21 |