| NPI | 1235316332 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61093984) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA rn00138284) |
| Enumeration Date | 2008-01-31 |
| Last Update Date | 2021-09-16 |