| NPI | 1295191310 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care (Licence: WA AP60635088) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN00160659) |
| 363LF0000X Nurse Practitioner Family (Licence: WA AP60635088) | |
| Enumeration Date | 2016-01-05 |
| Last Update Date | 2021-08-30 |