| NPI | 1861466971 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95000863) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP30007119) |
| Enumeration Date | 2006-02-15 |
| Last Update Date | 2020-06-24 |