| NPI | 1457305666 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60710614) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 201229) |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2018-09-04 |