| NPI | 1215939921 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP30005976) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN00105947) |
| Enumeration Date | 2005-08-12 |
| Last Update Date | 2023-03-07 |