| NPI | 1811234115 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: WA AP60693817) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: NV APRN001532) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: WA AP60693817) | |
| Enumeration Date | 2013-01-08 |
| Last Update Date | 2016-09-12 |