| NPI | 1891704144 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP61049578) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA NP13560) |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2022-03-02 |