| NPI | 1578702700 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP 60125611) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KS 46309) |
| Enumeration Date | 2009-02-11 |
| Last Update Date | 2020-03-20 |