| NPI | 1467859280 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP60939308) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL 2084722) |
| Enumeration Date | 2014-11-21 |
| Last Update Date | 2022-10-10 |