| NPI | 1215358841 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LC1500X Nurse Practitioner Community Health (Licence: WA AP 60417500) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: WA AP60417500) |
| Enumeration Date | 2013-12-28 |
| Last Update Date | 2019-02-15 |