| NPI | 1073068714 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: WA AP61535708) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 7207) |
| 363L00000X Nurse Practitioner (Licence: WA AP61535708) | |
| Enumeration Date | 2016-08-23 |
| Last Update Date | 2024-06-13 |