| NPI | 1942503495 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: WA AP60255926) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: CA 20278) |
| Enumeration Date | 2010-12-06 |
| Last Update Date | 2015-06-04 |