| NPI | 1225123888 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA APT0007476) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95026427) |
| 363LF0000X Nurse Practitioner, Family (Licence: UT 197104-4405) | |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2023-09-22 |