| NPI | 1598054249 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60209815) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: ID 22832a) |
| Enumeration Date | 2011-04-04 |
| Last Update Date | 2022-07-21 |