| NPI | 1952640690 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-114521) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA 60699815) |
| Enumeration Date | 2013-01-31 |
| Last Update Date | 2018-09-21 |