| NPI | 1114435708 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP61087116) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO 0001469) |
| Enumeration Date | 2018-01-17 |
| Last Update Date | 2021-02-10 |