| NPI | 1649481896 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60872232) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP2683) |
| Enumeration Date | 2007-05-26 |
| Last Update Date | 2021-05-19 |