| NPI | 1932378494 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP 60461996) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: UT 339088-4405) |
| Enumeration Date | 2008-02-28 |
| Last Update Date | 2021-12-15 |