| NPI | 1023548492 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60841787) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60812197) |
| 363L00000X Nurse Practitioner (Licence: WA AP60841787) | |
| Enumeration Date | 2017-06-18 |
| Last Update Date | 2020-01-10 |