| NPI | 1124329305 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OK 117962) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP 60189621) |
| Enumeration Date | 2010-11-04 |
| Last Update Date | 2016-10-06 |