| NPI | 1437669520 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60791418) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60672984) |
| Enumeration Date | 2017-10-03 |
| Last Update Date | 2017-11-07 |