| NPI | 1083772552 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP30006609) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95002810) |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2023-09-08 |