| NPI | 1487187027 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3011313) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60750502) |
| Enumeration Date | 2017-04-11 |
| Last Update Date | 2017-05-17 |