| NPI | 1114551702 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61063694) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60625331) |
| Enumeration Date | 2020-02-24 |
| Last Update Date | 2020-05-11 |