| NPI | 1306245816 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60477360) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60459370) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: WA AP60477360) | |
| Enumeration Date | 2014-08-20 |
| Last Update Date | 2021-06-22 |