| NPI | 1427502392 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP60686616) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA N360688245) |
| Enumeration Date | 2016-08-09 |
| Last Update Date | 2016-09-26 |