| NPI | 1871141945 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61169805) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95012586) |
| Enumeration Date | 2019-08-30 |
| Last Update Date | 2023-08-03 |