| NPI | 1124454533 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61196188) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA 60511648) |
| Enumeration Date | 2013-09-17 |
| Last Update Date | 2021-11-24 |