| NPI | 1912515685 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: UT 9683749-4405) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61084061) |
| Enumeration Date | 2020-07-20 |
| Last Update Date | 2023-07-11 |