| NPI | 1972769388 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP3075) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60143760) |
| Enumeration Date | 2008-08-05 |
| Last Update Date | 2013-06-20 |