| NPI | 1578886305 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60139269) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP60139269) |
| 363LF0000X Nurse Practitioner, Family (Licence: ID NP-1269A) | |
| Enumeration Date | 2010-03-08 |
| Last Update Date | 2023-06-21 |