| NPI | 1952549396 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60840772) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 13934) |
| Enumeration Date | 2009-01-22 |
| Last Update Date | 2018-10-25 |