| NPI | 1407945041 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: ID 59685) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP60811874) |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2024-03-13 |