| NPI | 1366843088 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP60477359) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: WA AP60477359) |
| Enumeration Date | 2014-09-12 |
| Last Update Date | 2021-04-09 |