| NPI | 1376942227 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA 60503186) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60365850) |
| 363LF0000X Nurse Practitioner, Family (Licence: WA F0914411) | |
| Enumeration Date | 2014-08-16 |
| Last Update Date | 2020-12-03 |