| NPI | 1215467527 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: WA AP60978914) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60978913) |
| Enumeration Date | 2017-06-19 |
| Last Update Date | 2019-11-25 |