| NPI | 1295840270 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: ID 57813) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP60822666) |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2021-06-03 |