| NPI | 1811363195 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: WA AP60616120) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: CA NP95002165) |
| 363LP2300X Nurse Practitioner Primary Care (Licence: WA AP60616120) | |
| Enumeration Date | 2015-08-20 |
| Last Update Date | 2018-04-17 |