| NPI | 1497149546 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP30004398) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN00123774) |
| 207Q00000X Family Medicine (Licence: WA AP30004398) | |
| Enumeration Date | 2015-03-26 |
| Last Update Date | 2021-10-05 |