| NPI | 1588833750 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: ID NP-1419A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP30007916) |
| Enumeration Date | 2008-02-21 |
| Last Update Date | 2016-03-08 |