| NPI | 1851069538 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP61226463) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: WA 61042185) |
| Enumeration Date | 2021-08-30 |
| Last Update Date | 2022-08-25 |