| NPI | 1891264727 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60763367) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95010237) |
| 363LF0000X Nurse Practitioner, Family (Licence: AK 141905) | |
| Enumeration Date | 2018-11-20 |
| Last Update Date | 2021-03-29 |