| NPI | 1003912411 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP60813682) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60768446) |
| 363L00000X Nurse Practitioner (Licence: IL 041239669) | |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2018-07-02 |