| NPI | 1356320402 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60542392) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ RN113699) |
| Enumeration Date | 2006-01-16 |
| Last Update Date | 2016-09-27 |