| NPI | 1316491251 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP60678377) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA RN60675338) |
| Enumeration Date | 2016-08-09 |
| Last Update Date | 2016-09-14 |