| NPI | 1003248113 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60454197) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: ID NP-1307A) |
| Enumeration Date | 2013-07-31 |
| Last Update Date | 2024-02-20 |