| NPI | 1285016139 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: WA AP60583465) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP60583465) |
| 163W00000X Registered Nurse (Licence: MI 4704278026) | |
| Enumeration Date | 2015-06-26 |
| Last Update Date | 2021-04-23 |