| NPI | 1225490949 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP60674293) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60560876) |
| Enumeration Date | 2016-03-22 |
| Last Update Date | 2016-08-30 |