| NPI | 1114454865 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: WA AP60759987) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60297560) |
| Enumeration Date | 2017-05-12 |
| Last Update Date | 2017-05-12 |