| NPI | 1336531870 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61029812) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60522996) |
| Enumeration Date | 2015-02-20 |
| Last Update Date | 2020-01-17 |