| NPI | 1316188477 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP60079887) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA RN00074782) |
| 363LF0000X Nurse Practitioner, Family (Licence: WA AP60079887) | |
| Enumeration Date | 2009-03-18 |
| Last Update Date | 2023-04-20 |