| NPI | 1700945649 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61330490) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 8525) |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2024-08-22 |