| NPI | 1043489370 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60307003) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MN R126584-4) |
| Enumeration Date | 2008-02-20 |
| Last Update Date | 2014-06-04 |