| NPI | 1164695102 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WA RN00165121) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60622644) |
| Enumeration Date | 2008-04-10 |
| Last Update Date | 2021-04-14 |