| NPI | 1033531892 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP61090611) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: ID NP54103) |
| Enumeration Date | 2014-01-14 |
| Last Update Date | 2021-04-14 |