| NPI | 1376897470 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP60315348) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60315348) |
| 363LF0000X Nurse Practitioner, Family (Licence: CT 10293) | |
| Enumeration Date | 2012-10-29 |
| Last Update Date | 2022-12-19 |