| NPI | 1568409019 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: WA AP300065005) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP30006005) |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2020-08-10 |