| NPI | 1689044026 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: WA AP60686679) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: LA RN126476) |
| 363LF0000X Nurse Practitioner Family (Licence: LA AP08549) | |
| Enumeration Date | 2015-09-28 |
| Last Update Date | 2022-08-08 |