| NPI | 1366492241 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: WA AP30005713) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN00131557) |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2023-02-14 |