| NPI | 1689665150 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA AP30006061) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA RN00037722) |
| 207Q00000X Family Medicine (Licence: MT RN101569) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MT NURAPRNLIC101792) | |
| Enumeration Date | 2005-11-02 |
| Last Update Date | 2016-09-29 |