| NPI | 1093122939 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60619674) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209011756) |
| Enumeration Date | 2014-07-11 |
| Last Update Date | 2016-02-10 |