| NPI | 1194102814 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: WA AP60798434) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 604112) |
| Enumeration Date | 2015-05-01 |
| Last Update Date | 2021-01-18 |