| NPI | 1013184373 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA MD00015888) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA ap30000663) |
| Enumeration Date | 2008-05-14 |
| Last Update Date | 2020-12-01 |