| NPI | 1821486648 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP 60525669) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 95001182) |
| Enumeration Date | 2014-12-31 |
| Last Update Date | 2014-12-31 |