| NPI | 1235113606 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP30004292) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN00061850) |
| Enumeration Date | 2005-11-30 |
| Last Update Date | 2021-03-24 |