| NPI | 1134655160 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60787306) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP60787306) |
| 363LF0000X Nurse Practitioner, Family (Licence: WA RN60668730) | |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2023-11-08 |