| NPI | 1679884761 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61473911) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: LA RN104462-AP06137) |
| Enumeration Date | 2010-06-23 |
| Last Update Date | 2023-11-09 |