| NPI | 1144469099 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: WA AP60074107) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: WA AP60074107) |
| 163W00000X Registered Nurse (Licence: WI RN00150675) | |
| Enumeration Date | 2009-02-17 |
| Last Update Date | 2017-02-23 |