| NPI | 1538595756 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP 60691545) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH 14834) |
| Enumeration Date | 2013-09-19 |
| Last Update Date | 2016-10-12 |