| NPI | 1043210057 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP2347) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP30006889) |
| Enumeration Date | 2005-08-01 |
| Last Update Date | 2021-03-03 |