| NPI | 1902255573 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61042790) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3010305) |
| Enumeration Date | 2016-06-06 |
| Last Update Date | 2021-04-16 |