| NPI | 1447782180 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: WA AP60776007) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60582749) |
| 363LF0000X Nurse Practitioner, Family (Licence: WA AP60776007) | |
| Enumeration Date | 2017-03-31 |
| Last Update Date | 2020-02-25 |