| NPI | 1760809156 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60923340) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NE 111641) |
| Enumeration Date | 2014-03-24 |
| Last Update Date | 2019-09-19 |