| NPI | 1417027293 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP30003943) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: ID 66473) |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2024-01-16 |