| NPI | 1104276732 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP60664562) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: WA AP60664562) |
| 363LF0000X Nurse Practitioner, Family (Licence: WA AP60664562) | |
| Enumeration Date | 2016-06-14 |
| Last Update Date | 2024-01-25 |