| NPI | 1235259748 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ID NP451A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP3005439) |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2010-10-26 |