| NPI | 1689003097 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP61498805) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 23471) |
| Enumeration Date | 2013-11-06 |
| Last Update Date | 2024-02-08 |