| NPI | 1720346521 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60568543) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NM 80947) |
| Enumeration Date | 2012-04-30 |
| Last Update Date | 2024-12-05 |