| NPI | 1013231984 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP 30002303) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 312273) |
| Enumeration Date | 2010-03-22 |
| Last Update Date | 2017-04-11 |