| NPI | 1376613422 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: WA AP30006427) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN00083556) |
| 363L00000X Nurse Practitioner (Licence: ID NP682A) | |
| 363L00000X Nurse Practitioner (Licence: WA AP30006427) | |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2023-08-04 |