| NPI | 1851958797 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: WA AP60969825) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: OR 201808243NP-PP) |
| Enumeration Date | 2019-05-28 |
| Last Update Date | 2020-11-05 |