| NPI | 1780168880 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO APN.0995009-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60520175) |
| 363L00000X Nurse Practitioner (Licence: WA AP60898503) | |
| 363LF0000X Nurse Practitioner, Family (Licence: WA AP60898503) | |
| Enumeration Date | 2018-09-24 |
| Last Update Date | 2020-05-07 |