| NPI | 1265866313 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP 60565012) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: HI APRN-1615) |
| Enumeration Date | 2013-08-26 |
| Last Update Date | 2015-11-24 |