| NPI | 1396119285 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60600564) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60465564) |
| Enumeration Date | 2015-11-16 |
| Last Update Date | 2015-11-16 |