| NPI | 1841854676 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61087253) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95010498) |
| Enumeration Date | 2019-04-26 |
| Last Update Date | 2022-10-03 |