| NPI | 1134493802 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP6026-6723) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60266723) |
| Enumeration Date | 2012-02-28 |
| Last Update Date | 2020-10-09 |