| NPI | 1376722520 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 21707) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP30007850) |
| Enumeration Date | 2007-10-24 |
| Last Update Date | 2019-07-12 |