| NPI | 1972864833 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ID NP-1148A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA 60285078) |
| Enumeration Date | 2012-06-06 |
| Last Update Date | 2014-07-22 |