| NPI | 1114391786 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA 60894976) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN00169288) |
| Enumeration Date | 2015-11-19 |
| Last Update Date | 2018-12-05 |