| NPI | 1376027789 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP61017092) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2320788) |
| Enumeration Date | 2018-09-21 |
| Last Update Date | 2020-12-04 |