| NPI | 1205206174 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 338753) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60565547) |
| Enumeration Date | 2015-10-04 |
| Last Update Date | 2020-08-21 |