| NPI | 1891091401 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60592387) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO NP990031) |
| Enumeration Date | 2011-01-28 |
| Last Update Date | 2022-10-11 |