| NPI | 1457769408 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60823894) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: VA 0024171872) |
| Enumeration Date | 2014-07-22 |
| Last Update Date | 2018-04-10 |