| NPI | 1235435009 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60204231) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: ID NP1072A) |
| Enumeration Date | 2011-01-26 |
| Last Update Date | 2018-09-06 |