| NPI | 1114322831 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP61309376) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 23814) |
| Enumeration Date | 2014-10-23 |
| Last Update Date | 2022-08-01 |