| NPI | 1134369911 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: WA AP61175553) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60267357) |
| Enumeration Date | 2009-03-06 |
| Last Update Date | 2021-08-18 |