| NPI | 1104859875 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP4970) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP30005619) |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2024-11-07 |