| NPI | 1841796174 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: WA AP60794562) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP60794562) |
| Enumeration Date | 2018-04-04 |
| Last Update Date | 2018-05-08 |