| NPI | 1306448725 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP61338025) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 814045) |
| 163W00000X Registered Nurse (Licence: WA RN61334294) | |
| 363LF0000X Nurse Practitioner Family (Licence: NY 347595) | |
| Enumeration Date | 2020-11-10 |
| Last Update Date | 2024-05-30 |