| NPI | 1255415451 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NM 67604) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP3006906) |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2023-12-27 |