| NPI | 1699142737 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: OR 201604219NP-PP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: WA AP60653190) |
| Enumeration Date | 2015-08-24 |
| Last Update Date | 2016-11-17 |