| NPI | 1932504032 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60626216) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: IA A120865) |
| Enumeration Date | 2014-10-31 |
| Last Update Date | 2017-08-02 |