| NPI | 1588002976 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OR 201507582NP-PP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP60356518) |
| Enumeration Date | 2013-06-07 |
| Last Update Date | 2021-02-19 |