| NPI | 1487978904 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA Ap60149400) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: ID NP1300A) |
| Enumeration Date | 2010-03-26 |
| Last Update Date | 2021-09-13 |