| NPI | 1447361019 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: WA AP30004140) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MT 60226) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2014-08-04 |