| NPI | 1912276668 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DC NP500017031) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60255918) |
| Enumeration Date | 2011-12-27 |
| Last Update Date | 2024-04-27 |