| NPI | 1437231438 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 2007) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN00091826) |
| 363L00000X Nurse Practitioner (Licence: MN R0935418) | |
| 363L00000X Nurse Practitioner (Licence: WA AP30004039) | |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2024-01-15 |