| NPI | 1225538523 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP61118837) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 232247) |
| Enumeration Date | 2018-02-14 |
| Last Update Date | 2021-05-03 |