| NPI | 1053822767 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60764588) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60221949) |
| Enumeration Date | 2017-10-20 |
| Last Update Date | 2017-10-20 |