| NPI | 1295784262 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP30006634) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP30006634) |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2024-10-11 |