| NPI | 1134596455 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: ID NP-1590A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP60582485) |
| Enumeration Date | 2015-08-24 |
| Last Update Date | 2022-05-25 |