| NPI | 1538437611 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP4272) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60438941) |
| Enumeration Date | 2011-12-05 |
| Last Update Date | 2020-04-06 |