| NPI | 1528024007 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MT 30731) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP30003923) |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2016-06-06 |