| NPI | 1992977078 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60703925) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 17817) |
| Enumeration Date | 2008-03-28 |
| Last Update Date | 2020-01-13 |