| NPI | 1326301094 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60616598) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: CA 21316) |
| Enumeration Date | 2012-06-19 |
| Last Update Date | 2020-03-10 |