| NPI | 1750696605 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ID NP-990A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60161493) |
| Enumeration Date | 2010-08-16 |
| Last Update Date | 2023-02-06 |