| NPI | 1174891550 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP61562596) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95012320) |
| 363L00000X Nurse Practitioner (Licence: WA RN61541019) | |
| Enumeration Date | 2011-12-13 |
| Last Update Date | 2024-10-02 |