| NPI | 1437357241 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: UT 206559-4405) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP30007530) |
| Enumeration Date | 2007-07-03 |
| Last Update Date | 2012-09-13 |