| NPI | 1184021610 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61104257) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: HI APRN-1127) |
| Enumeration Date | 2014-11-26 |
| Last Update Date | 2021-04-21 |