| NPI | 1134320401 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP30006550) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IA H138175) |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2014-12-09 |