| NPI | 1194148700 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP60580142) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95000603) |
| Enumeration Date | 2014-02-03 |
| Last Update Date | 2016-02-03 |