| NPI | 1578071916 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: WA N360840510) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA N360840510) |
| Enumeration Date | 2018-01-19 |
| Last Update Date | 2018-05-07 |