| NPI | 1417360884 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WA RN60374118) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95090708) |
| 363LF0000X Nurse Practitioner, Family (Licence: WA AP60505213) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 95004238) | |
| Enumeration Date | 2014-06-03 |
| Last Update Date | 2019-04-09 |