| NPI | 1952407090 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: AK 224414) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AK 141780) |
| 225700000X Massage Therapist (Licence: WA MA00017451) | |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2024-06-20 |