| NPI | 1801548698 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ID 68965) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61188013) |
| Enumeration Date | 2022-01-22 |
| Last Update Date | 2022-01-24 |