| NPI | 1376894675 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60853387) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 337907) |
| Enumeration Date | 2012-09-26 |
| Last Update Date | 2019-04-11 |