| NPI | 1356874259 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60770492) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: ID 55472) |
| Enumeration Date | 2017-04-06 |
| Last Update Date | 2018-10-10 |