| NPI | 1821072356 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AK 192378) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP30006319) |
| Enumeration Date | 2005-11-29 |
| Last Update Date | 2022-05-12 |