| NPI | 1407211683 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP 60592393) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP605923393) |
| Enumeration Date | 2015-12-15 |
| Last Update Date | 2023-05-09 |