| NPI | 1275935066 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP60498799) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60498799) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: WA AP60498799) | |
| Enumeration Date | 2014-09-23 |
| Last Update Date | 2019-12-16 |