| NPI | 1487999140 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA 60751029) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: CA 22168) |
| Enumeration Date | 2012-12-06 |
| Last Update Date | 2020-10-15 |