| NPI | 1780667568 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP30004134) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 21886) |
| Enumeration Date | 2005-11-25 |
| Last Update Date | 2021-04-05 |