| NPI | 1265416135 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP30003374) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 6442) |
| Enumeration Date | 2005-12-02 |
| Last Update Date | 2016-05-04 |