| NPI | 1598784035 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP30007359) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 227429) |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2007-07-08 |