| NPI | 1699813329 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP60056949) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ RN145802) |
| 363LF0000X Nurse Practitioner, Family (Licence: AZ AP2697) | |
| 363LF0000X Nurse Practitioner, Family (Licence: WA AP60056949) | |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2014-01-07 |