| NPI | 1093977902 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 9275574) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA 30007923) |
| Enumeration Date | 2008-07-01 |
| Last Update Date | 2024-04-03 |