| NPI | 1285979351 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: WA AP60327734) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60090396) |
| Enumeration Date | 2012-11-30 |
| Last Update Date | 2016-06-14 |