| NPI | 1366620825 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ID NP-1396A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA ap30007931) |
| Enumeration Date | 2008-02-07 |
| Last Update Date | 2016-11-07 |