| NPI | 1801402169 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA 61218135) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 29878) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2020-09-21 |
| Last Update Date | 2022-06-09 |