| NPI | 1831444215 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: WA AP60412840) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO RN.1662066) |
| 363L00000X Nurse Practitioner (Licence: WA AP60412840) | |
| 363LP2300X Nurse Practitioner Primary Care (Licence: WA AP60412840) | |
| Enumeration Date | 2012-07-20 |
| Last Update Date | 2019-07-12 |