| NPI | 1376852350 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP60184982) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: WA AP60184982) |
| 363LC1500X Nurse Practitioner Community Health (Licence: WA AP60184982) | |
| 363LF0000X Nurse Practitioner Family (Licence: WA AP60184982) | |
| 363LP2300X Nurse Practitioner Primary Care (Licence: WA AP60184982) | |
| Enumeration Date | 2010-09-24 |
| Last Update Date | 2020-09-01 |