| NPI | 1487190138 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: WA AP60782202) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP60782202) |
| 363LF0000X Nurse Practitioner, Family (Licence: WA AP60782202) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: WA RN00152737) | |
| Enumeration Date | 2017-01-18 |
| Last Update Date | 2022-08-26 |