| NPI | 1477601565 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: WA AP60214922) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: WA CH00034100) |
| 363L00000X Nurse Practitioner (Licence: WA ap60214922) | |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2022-07-27 |