| NPI | 1215973227 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MD R223457) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP30007354) |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2018-03-15 |