| NPI | 1184024747 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA 60506140) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA 60369533) |
| Enumeration Date | 2014-09-01 |
| Last Update Date | 2015-02-25 |