| NPI | 1699809319 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP60695749) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 17168) |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2018-03-17 |