| NPI | 1255376596 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP30005726) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP30005726) |
| 163W00000X Registered Nurse (Licence: WA RN00123673) | |
| Enumeration Date | 2006-06-19 |
| Last Update Date | 2024-09-25 |