| NPI | 1629320874 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60309079) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: ME CNP121087) |
| Enumeration Date | 2012-10-12 |
| Last Update Date | 2015-06-22 |