| NPI | 1972980811 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60603282) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 823936) |
| 163W00000X Registered Nurse (Licence: WA RN60470931) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NY 348621) | |
| Enumeration Date | 2015-04-29 |
| Last Update Date | 2024-08-09 |