| NPI | 1932434222 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: WA AP60678139) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP60678139) |
| 363L00000X Nurse Practitioner (Licence: IL 209007721) | |
| Enumeration Date | 2009-10-05 |
| Last Update Date | 2020-10-26 |