| NPI | 1548613730 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DC RN1049286) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60681419) |
| Enumeration Date | 2016-07-22 |
| Last Update Date | 2018-08-08 |