| NPI | 1619107364 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: ID 78851) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: WA AP60102358) |
| Enumeration Date | 2009-07-15 |
| Last Update Date | 2024-09-17 |