| NPI | 1477065266 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60990350) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 740559-1) |
| 163W00000X Registered Nurse (Licence: WA RN60980426) | |
| Enumeration Date | 2017-11-01 |
| Last Update Date | 2020-12-11 |