| NPI | 1376929380 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP60592754) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ 181909) |
| 163W00000X Registered Nurse (Licence: OH 308426) | |
| Enumeration Date | 2015-08-03 |
| Last Update Date | 2015-11-10 |