| NPI | 1508309824 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: WA AP60698849) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: WA AP60698849) |
| 363L00000X Nurse Practitioner (Licence: WA AP60698849) | |
| Enumeration Date | 2016-11-18 |
| Last Update Date | 2025-01-16 |