| NPI | 1366625717 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60909533) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60231010) |
| 363L00000X Nurse Practitioner (Licence: WA AP60909533) | |
| Enumeration Date | 2007-12-07 |
| Last Update Date | 2023-10-10 |