| NPI | 1770772881 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60202513) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA 265873) |
| Enumeration Date | 2007-10-15 |
| Last Update Date | 2012-05-01 |