| NPI | 1376882514 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60333951) |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine (Licence: WA 83-2076298) |
| Enumeration Date | 2013-02-07 |
| Last Update Date | 2021-05-13 |