| NPI | 1558780528 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: OR 202005669NP-PP) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: WA AP60427030) |
| Enumeration Date | 2014-04-07 |
| Last Update Date | 2022-06-29 |