| NPI | 1093867277 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA 60603287) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 17691) |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2021-04-01 |