| NPI | 1144225236 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP30007138) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 15481) |
| 363LF0000X Nurse Practitioner, Family (Licence: WA AP 30007138) | |
| Enumeration Date | 2005-06-16 |
| Last Update Date | 2023-03-07 |