| NPI | 1700948924 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 11606) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP30006841) |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2017-05-22 |