| NPI | 1639612617 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60642418) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95004219) |
| Enumeration Date | 2016-11-23 |
| Last Update Date | 2018-08-07 |