| NPI | 1912471822 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN9364715) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP60930272) |
| Enumeration Date | 2019-01-14 |
| Last Update Date | 2022-08-23 |