| NPI | 1225241334 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: WA AP60261324) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: VA 0024166665) |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2024-04-25 |