| NPI | 1083971147 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60296830) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN001106896) |
| Enumeration Date | 2012-04-13 |
| Last Update Date | 2023-11-02 |