| NPI | 1174074017 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60703572) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60110523) |
| Enumeration Date | 2016-10-15 |
| Last Update Date | 2021-10-25 |