| NPI | 1942437546 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60553300) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: ID NP924A) |
| Enumeration Date | 2009-06-22 |
| Last Update Date | 2020-08-26 |