| NPI | 1134541196 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: WA AP60403403) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60222987) |
| Enumeration Date | 2014-01-10 |
| Last Update Date | 2017-03-23 |