| NPI | 1457697526 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP60677442) |
| Additional Taxonomies | 163WP0000X Registered Nurse, Pain Management (Licence: WA RN 60148200) |
| 363LF0000X Nurse Practitioner, Family (Licence: WA AP60677442) | |
| Enumeration Date | 2012-12-18 |
| Last Update Date | 2021-03-01 |