| NPI | 1457805608 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NV F07161188) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60720824) |
| Enumeration Date | 2016-08-04 |
| Last Update Date | 2019-07-10 |