| NPI | 1184985152 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA 60717984) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NV APRN001397) |
| Enumeration Date | 2012-06-06 |
| Last Update Date | 2017-05-09 |