| NPI | 1902158421 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60577678) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WA AP60577678) |
| 363L00000X Nurse Practitioner (Licence: ID NP-1523A) | |
| 363L00000X Nurse Practitioner (Licence: WA AP60577678) | |
| Enumeration Date | 2012-10-08 |
| Last Update Date | 2024-05-16 |