| NPI | 1548691736 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95017941) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60436140) |
| Enumeration Date | 2013-12-12 |
| Last Update Date | 2021-09-24 |