| NPI | 1689755977 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP60325370) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 324759) |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2015-09-01 |