| NPI | 1174771885 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP60035785) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN00168005) |
| 213E00000X Podiatrist (Licence: WA AP60035785) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: WA AP60035785) | |
| Enumeration Date | 2008-09-05 |
| Last Update Date | 2021-02-01 |