| NPI | 1730551862 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60856996) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024173010) |
| Enumeration Date | 2015-10-28 |
| Last Update Date | 2019-10-10 |