| NPI | 1447745286 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: WA AP60865053) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN00160083) |
| Enumeration Date | 2018-06-25 |
| Last Update Date | 2018-10-04 |