| NPI | 1356718829 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP60600681) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: WA RN60334445) |
| 363L00000X Nurse Practitioner (Licence: WA RN60334445) | |
| Enumeration Date | 2015-08-31 |
| Last Update Date | 2017-02-01 |