| NPI | 1194132431 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP60464005) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: ID NP-1433A) |
| 363LF0000X Nurse Practitioner Family (Licence: WA AP60464005) | |
| Enumeration Date | 2014-07-18 |
| Last Update Date | 2024-03-15 |