| NPI | 1982996880 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9431071) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60220861) |
| Enumeration Date | 2011-05-10 |
| Last Update Date | 2016-06-17 |