| NPI | 1992169262 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP61028203) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: CA NP95003950) |
| Enumeration Date | 2016-04-12 |
| Last Update Date | 2020-03-10 |