| NPI | 1225540545 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP60801941) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60800561) |
| 363LF0000X Nurse Practitioner, Family (Licence: WA AP60801941) | |
| Enumeration Date | 2017-10-26 |
| Last Update Date | 2018-06-29 |