| NPI | 1386724821 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: GA NP156631) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: WA AP30006957) |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2013-10-14 |