| NPI | 1528371564 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: WA AP60391951) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA ap60391951) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: MD R190791) | |
| Enumeration Date | 2010-07-20 |
| Last Update Date | 2021-02-26 |