| NPI | 1316928203 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60728020) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 201674) |
| 363LF0000X Nurse Practitioner, Family (Licence: WI 6375-33) | |
| Enumeration Date | 2005-11-08 |
| Last Update Date | 2019-07-03 |