| NPI | 1932242088 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: WA AP30007352) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: WA AP30007352) |
| 363L00000X Nurse Practitioner (Licence: WA AP30007352) | |
| 363LF0000X Nurse Practitioner Family (Licence: OR 201250078NP) | |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2022-04-11 |