| NPI | 1073076451 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61044874)  | 
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP61044874)  | 
| Enumeration Date | 2019-04-11 | 
| Last Update Date | 2020-04-13 |