| NPI | 1942265574 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA N361113619) |
| Additional Taxonomies | 174400000X Specialist (Licence: TN 7446) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP 9299039) | |
| Enumeration Date | 2006-04-18 |
| Last Update Date | 2022-02-23 |