| NPI | 1295827715 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP30006828) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IA A119869) |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2021-08-05 |