| NPI | 1578815080 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: WA AP60657869) |
| Additional Taxonomies | 364SF0001X Clinical Nurse Specialist Family Health (Licence: FL ARNP1652032) |
| Enumeration Date | 2012-10-08 |
| Last Update Date | 2017-10-18 |