| NPI | 1609172444 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60435520) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WI 5098-33) |
| 363LF0000X Nurse Practitioner, Family (Licence: IL 209008323) | |
| Enumeration Date | 2011-01-26 |
| Last Update Date | 2020-08-31 |