| NPI | 1285652305 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP30003830) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN00078816) |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2019-11-12 |