| NPI | 1427483312 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60593301) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: ME CNP131042) |
| Enumeration Date | 2013-09-10 |
| Last Update Date | 2016-03-02 |