| NPI | 1407297278 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: WA AP60389421) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: WA N360394462) |
| Enumeration Date | 2013-07-09 |
| Last Update Date | 2022-07-12 |