| NPI | 1700221504 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60408845) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN RN0000184343) |
| Enumeration Date | 2013-05-07 |
| Last Update Date | 2014-01-17 |