| NPI | 1902867245 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: OR 200150031NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: WA AP30005854) |
| Enumeration Date | 2006-03-28 |
| Last Update Date | 2018-08-22 |