| NPI | 1922582170 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9488416) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP60914410) |
| Enumeration Date | 2018-09-23 |
| Last Update Date | 2023-04-27 |