| NPI | 1730133638 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP60377133) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 310678) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: WA ap60377133) | |
| Enumeration Date | 2006-05-22 |
| Last Update Date | 2022-12-06 |