| NPI | 1619033727 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: AK ANP 456) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: WA AP30004872) |
| Enumeration Date | 2006-12-31 |
| Last Update Date | 2007-07-08 |