| NPI | 1699858415 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ID NP490A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP30007156) |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2016-03-07 |