| NPI | 1518056357 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP30007743) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209-006133) |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2012-09-04 |