| NPI | 1437658903 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP60829143) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA RN60829142) |
| 363LF0000X Nurse Practitioner, Family (Licence: WA AP60829143) | |
| Enumeration Date | 2018-02-09 |
| Last Update Date | 2018-09-05 |