| NPI | 1497001598 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024179414) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60258249) |
| Enumeration Date | 2012-07-26 |
| Last Update Date | 2022-10-20 |