| NPI | 1730556788 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60884568) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2293179) |
| Enumeration Date | 2015-08-25 |
| Last Update Date | 2020-01-02 |