| NPI | 1013541903 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA 61073864) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA 60406678) |
| Enumeration Date | 2020-02-28 |
| Last Update Date | 2020-09-03 |