| NPI | 1386028819 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61011707) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN61011706) |
| Enumeration Date | 2015-07-14 |
| Last Update Date | 2020-07-07 |