| NPI | 1811426844 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3011346) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60964817) |
| Enumeration Date | 2017-06-04 |
| Last Update Date | 2023-11-27 |