| NPI | 1164726915 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60620382) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA RN00134324) |
| Enumeration Date | 2011-01-07 |
| Last Update Date | 2024-04-16 |