| NPI | 1235435439 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60201042) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP60201042) |
| 363LF0000X Nurse Practitioner, Family (Licence: AZ AP3915) | |
| Enumeration Date | 2011-02-04 |
| Last Update Date | 2022-05-10 |