| NPI | 1740268028 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP2940) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP30007062) |
| Enumeration Date | 2006-01-05 |
| Last Update Date | 2010-04-13 |