| NPI | 1891022869 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP60470368) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AR A03312 ANP) |
| Enumeration Date | 2009-11-11 |
| Last Update Date | 2020-12-30 |