| NPI | 1699788539 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: WA AP30007129) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA AP30007129) |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2024-04-04 |