| NPI | 1770755050 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: WA AP60900787) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MA 241711) |
| Enumeration Date | 2008-03-27 |
| Last Update Date | 2020-08-18 |