| NPI | 1124481221 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA RN60154877) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: ID 65744) |
| Enumeration Date | 2016-04-05 |
| Last Update Date | 2023-01-10 |