| NPI | 1225522626 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP60737775) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: WA AP60737775) |
| 163W00000X Registered Nurse (Licence: WA RN60416045) | |
| Enumeration Date | 2018-06-19 |
| Last Update Date | 2018-10-31 |