| NPI | 1497093140 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: WA AP60304658) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA 60286758) |
| Enumeration Date | 2013-01-30 |
| Last Update Date | 2021-04-15 |