| NPI | 1437313640 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60052244) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA 00013214) |
| Enumeration Date | 2008-07-16 |
| Last Update Date | 2021-08-04 |