| NPI | 1346409661 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD AC001700) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN00169033) |
| 363LF0000X Nurse Practitioner, Family (Licence: WA AP60030592) | |
| Enumeration Date | 2008-06-02 |
| Last Update Date | 2019-02-27 |