| NPI | 1578750048 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA 60073729) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 16462) |
| Enumeration Date | 2007-09-28 |
| Last Update Date | 2023-09-27 |