| NPI | 1083086573 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60594373) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60472047) |
| 163W00000X Registered Nurse (Licence: CA 95053615) | |
| Enumeration Date | 2015-10-23 |
| Last Update Date | 2015-10-23 |