| NPI | 1386028942 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: WA AP60958316) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: WA RN60958314) |
| Enumeration Date | 2015-07-14 |
| Last Update Date | 2021-09-22 |