| NPI | 1578996740 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ID NP-1251A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60331559) |
| Enumeration Date | 2013-08-12 |
| Last Update Date | 2023-08-23 |