| NPI | 1649637497 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: WA AP61111004) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN00149975) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: CO APN0999305NP) | |
| Enumeration Date | 2016-01-25 |
| Last Update Date | 2023-12-06 |