| NPI | 1780077552 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60546657) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: ID NP-1546A) |
| Enumeration Date | 2015-03-18 |
| Last Update Date | 2018-04-20 |