| NPI | 1316236706 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60200007) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60095376) |
| 363L00000X Nurse Practitioner (Licence: WA AP60200007) | |
| Enumeration Date | 2011-04-06 |
| Last Update Date | 2018-10-31 |