| NPI | 1629039771 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP30007647) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AK AK0563) |
| Enumeration Date | 2006-03-29 |
| Last Update Date | 2024-05-08 |