| NPI | 1851641971 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60748114) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F337487-1) |
| Enumeration Date | 2012-09-17 |
| Last Update Date | 2018-03-17 |