| NPI | 1225265556 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA N361143716) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA N261140311) |
| 363L00000X Nurse Practitioner (Licence: CA RN558162 & NP18925) | |
| Enumeration Date | 2009-06-12 |
| Last Update Date | 2021-03-01 |