| NPI | 1659787273 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ID NP-1445A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60495434) |
| Enumeration Date | 2014-07-02 |
| Last Update Date | 2016-11-29 |