| NPI | 1356727069 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60698673) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KS 53-76817-051) |
| Enumeration Date | 2015-08-04 |
| Last Update Date | 2024-09-19 |