| NPI | 1447852785 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61084178) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP61084178) |
| 363L00000X Nurse Practitioner (Licence: WA RN61084173) | |
| Enumeration Date | 2020-11-11 |
| Last Update Date | 2021-02-18 |