| NPI | 1497261689 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60819906) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA RN60201339) |
| Enumeration Date | 2017-12-25 |
| Last Update Date | 2018-02-02 |